QA Auditor I: Billing & Data Integrity (WC Claims)

MedRisk LLC; West Conshohocken (PA); On-site; USD 25,000 - 39,000; Full time

Job summary

MedRisk LLC is seeking a QA Auditor I to join the team in Conshohocken, PA. The role focuses on auditing Workers' Compensation bills re-priced through Medata or Bridge and ensuring high-quality data before mailing.

The candidate will monitor backlogs, meet audit deadlines, and contribute to continuous improvement with cross-functional teams. Strong organization, detail orientation, and MS Office proficiency are essential.

Qualifications

• Detail-oriented with strong organizational, time management and problem-solving abilities.
• Knowledge of Workers' Compensation billing procedures including CPT Coding, ICD-10, and HCPC.
• Proficient in MS Office tools (Word, Excel, Outlook).
• Ability to multi-task, adapt quickly to change and follow projects through completion.

Responsibilities

• Audit all Workers' Compensation bills re-priced through Medata or Bridge.
• Meet/exceed audit productivity and quality standards to maintain integrity of the claim/bill.
• Maintain and report backlogs; ensure QA of claims within deadlines.
• Determine error sources and enter audits accurately; document in QA log.

Skills

Detail-oriented

Organizational skills

Time management

Problem solving

MS Office (Word, Excel, Outlook)

Education

Knowledge of Workers' Compensation billing procedures

Tools

MS Word

MS Excel

MS Outlook

Job description

MedRisk LLC is seeking a QA Auditor I to join the team in Conshohocken, PA. The role focuses on auditing Workers' Compensation bills re-priced through Medata or Bridge and ensuring high-quality data before mailing.

The candidate will monitor backlogs, meet audit deadlines, and contribute to continuous improvement with cross-functional teams. Strong organization, detail orientation, and MS Office proficiency are essential.