Medical Records Compliance Auditor (Claims & ICD-10)

A-Line Staffing Solutions LLC; Harrisburg (Dauphin County); On-site; USD 25,000 - 33,000; Full time

Benefits offered by this job

Benefits after 90 days of employment

401(k) with company match after 1 year

INDKS

Job summary

A-Line Staffing Solutions in Harrisburg, PA is seeking a Medical Records Content Reviewer - Advanced to review outpatient records and Medicaid claims for accuracy, compliance, and proper documentation. You will help identify billing issues and ensure compliant coding.

The role requires strong attention to detail, Excel proficiency, and effective written/verbal communication. This is a full-time on-site position with a Monday–Friday schedule in Harrisburg.

Qualifications

• Associate’s degree in Health Services Management, or 2 years of outpatient healthcare management experience.

Responsibilities

• Review outpatient medical records and Medicaid claims for accuracy and compliance.
• Identify billing issues such as upcoding and duplicate billing.
• Use ICD-10, CPT, and HCPCS coding references to validate claims.
• Prepare reports, provider correspondence, and case documentation.
• Track case activity and provide updates to management.
• May provide testimony in legal proceedings.

Skills

Attention to detail

Communication skills

Microsoft Excel

Education

Associate’s degree in Health Services Management

Job description

A-Line Staffing Solutions in Harrisburg, PA is seeking a Medical Records Content Reviewer - Advanced to review outpatient records and Medicaid claims for accuracy, compliance, and proper documentation. You will help identify billing issues and ensure compliant coding.

The role requires strong attention to detail, Excel proficiency, and effective written/verbal communication. This is a full-time on-site position with a Monday–Friday schedule in Harrisburg.