Remote Claims Auditor – Healthcare Billing & Compliance

MedPOINT Management; Los Angeles (CA); On-site; USD 60,000 - 85,000; Full time

Benefits offered by this job

401(k)

401(k) matching

Company parties

Dental insurance

Employee discounts

Health insurance

Opportunity for advancement

Paid time off

Parental leave

Savings bank

Training & development

Vision insurance

Wellness resources

Job summary

MedPOINT Management is seeking a detail-oriented Claims Auditor to join our team in Sherman Oaks, CA. In this critical role, you'll help ensure the accuracy and integrity of claims processing within a dynamic healthcare management environment.

If you have a sharp eye for detail and a passion for healthcare operations, we want to hear from you! This remote position offers opportunities for advancement and a collaborative team culture, with a focus on protecting revenue integrity and improving

Qualifications

• 2+ years of experience in claims auditing, claims processing, or healthcare billing.
• Familiarity with ICD-10, CPT, and HCPCS coding standards.

Responsibilities

• Audit medical claims for accuracy, completeness, and payer guideline compliance.
• Review claims data to identify billing errors, overpayments, and underpayments.
• Conduct pre- and post-payment audits to ensure proper reimbursement and reduce risk.
• Document audit findings and prepare detailed management reports.
• Collaborate with claims processing and provider relations to resolve discrepancies.
• Monitor claims trends and suggest process improvements to boost accuracy.
• Ensure compliance with federal, state, and managed care regulations including ICD-10, CPT, HCPCS.

Skills

attention to detail

analytical skills

excellent communication

Education

CPC/CCA certification (preferred)

Tools

Microsoft Office Suite

Claims management system

Job description

MedPOINT Management is seeking a detail-oriented Claims Auditor to join our team in Sherman Oaks, CA. In this critical role, you'll help ensure the accuracy and integrity of claims processing within a dynamic healthcare management environment.

If you have a sharp eye for detail and a passion for healthcare operations, we want to hear from you! This remote position offers opportunities for advancement and a collaborative team culture, with a focus on protecting revenue integrity and improving