Remote Medical Billing & Claims Auditor

Neara; New York (NY); Hybrid; USD 70,000 - 90,000; Full time

Benefits offered by this job

Competitive compensation package

Medical, Dental and Vision benefits

Flexible, paid vacation policy

Job summary

A healthcare technology firm is seeking an experienced Medical Bill Reviewer to work remotely from New York. The role involves reviewing medical claims, analyzing patient records, and ensuring compliance with coding guidelines. Candidates should have at least 3 years of experience, certifications in relevant fields, and knowledge of billing compliance standards. The company offers competitive pay and benefits, contributing to an innovative team focused on modernizing healthcare auditing processes.

Qualifications

• Must have at least 3 years of auditing/bill review experience.
• Clinical license (RN) preferred.
• Experience working at an insurance company is preferred.

Responsibilities

• Review and analyze medical claims and records.
• Combing through UB-04/IB's for coding/billing violations.
• Clear documentation of inconsistencies with claims.

Skills

Facility Inpatient Coding/Auditing Experience

Knowledge of PHI/HIPAA compliance

Researching and verifying claim coding accuracy

Deep background in medical billing, coding, or auditing

Experience performing audits on line item charges

Education

CPC/CIC/CRC/CPMA certification

Job description

A healthcare technology firm is seeking an experienced Medical Bill Reviewer to work remotely from New York. The role involves reviewing medical claims, analyzing patient records, and ensuring compliance with coding guidelines. Candidates should have at least 3 years of experience, certifications in relevant fields, and knowledge of billing compliance standards. The company offers competitive pay and benefits, contributing to an innovative team focused on modernizing healthcare auditing processes.