Remote Medicaid Pre-Billing Auditor

AbleLight; Seattle (WA); Remote; USD 99,000 - 110,000; Full time

Benefits offered by this job

Health/Dental/Vision benefits

403(b) with 3.5% match

Paid time off

Tuition reimbursement

CPR certification training

Dayforce Wallet pay access

Job summary

AbleLight is seeking a Medicaid Pre-Billing Auditor to independently evaluate Medicaid billing, coding, authorizations, service documentation, and related reimbursement practices. The focus is on pre-billing audits to identify risks and ensure compliant claims.

The role is remote with candidates in CO, CA, MN, WA, OR or MO. You will perform audits, generate reports, and support remediation with cross-functional teams to reduce regulatory risk.

Qualifications

• Bachelor’s degree in healthcare administration, accounting or related field or equivalent experience.
• Minimum of five years auditing experience including claims, coding and documentation review for compliance.
• Credentials: CPC, CCS-P, CPMA, CHC or equivalent healthcare auditing credential.

Responsibilities

• Auditing and monitoring Medicaid claims, records, and documentation based on risk.
• Prepare concise audit reports and support remediation actions with stakeholders.
• Collaborate across departments and evaluate audit-management and analytics tools.
• Provide Medicaid billing and coding guidance and monitor regulatory updates.

Skills

Auditing

Medicaid

Regulatory compliance

CPT/HCPCS/ICD-10-CM

Documentation review

Education

Bachelor’s degree in healthcare administration or accounting

Tools

Audit-management software

Data analytics tools

AI-assisted auditing

Job description

AbleLight is seeking a Medicaid Pre-Billing Auditor to independently evaluate Medicaid billing, coding, authorizations, service documentation, and related reimbursement practices. The focus is on pre-billing audits to identify risks and ensure compliant claims.

The role is remote with candidates in CO, CA, MN, WA, OR or MO. You will perform audits, generate reports, and support remediation with cross-functional teams to reduce regulatory risk.