Remote Medical Auditor Jobs

Job summary

A healthcare auditing firm based in Chicago is seeking a Quality Assurance Auditor to conduct audits on medical, dental, and vision claims. The role requires a Bachelor's degree or equivalent work experience and at least 5 years of relevant auditing experience. Responsibilities include tracking audit data, conducting audits of outgoing correspondence, and reporting audit trends. This position offers a fully remote work environment with a competitive benefits package including health insurance, paid time off, and a technology stipend.

Benefits

Qualifications

• Minimum 5 years of experience auditing medical, dental, and vision claims.
• Ability to manage workload and competing priorities.
• Some familiarity with plan coding.

Responsibilities

• Audit outgoing correspondence from the Medical Review, Appeals, and Refund teams.
• Conduct comprehensive audits of claim adjustments.
• Track and report audit trends.