Itemized Billing Specialist - Medical Coding & Claims

Oscar Health; United States; Remote; USD 60,000 - 90,000; Full time

Job summary

Oscar Health in the United States is seeking a skilled medical coder to review high-dollar facility itemized bills, identify billing errors and policy violations, and support accurate claim payouts. You will leverage Oscar's claim infrastructure and your coding expertise to spot issues and drive improvements.

Collaboration across teams will turn friction into actionable, data-driven optimizations for reimbursement processes.

Qualifications

• Must have current certification in medical coding.
• Experience with hospital facility billing and reimbursement workflows.
• Familiarity with data analysis to support audit findings and improvements.

Responsibilities

• Review high-dollar facility itemized bills for billing errors and policy violations.
• Ensure claims are paid accurately and timely with high quality.
• Collaborate cross-functionally to turn friction into actionable improvements.

Skills

Medical coding

Hospital billing

Data analysis

Reimbursement methodologies

Education

Certified medical coder (e.g., CPC/ CCS)

Job description

Oscar Health in the United States is seeking a skilled medical coder to review high-dollar facility itemized bills, identify billing errors and policy violations, and support accurate claim payouts. You will leverage Oscar's claim infrastructure and your coding expertise to spot issues and drive improvements.

Collaboration across teams will turn friction into actionable, data-driven optimizations for reimbursement processes.