Claims Auditor/Trainer

UHS•Reno, NV

About The Position

The Healthcare Claims Auditor/Trainer is responsible for ensuring the accuracy, compliance, and quality of claims processing across all lines of business. This role performs detailed audits, develops and delivers training programs, and provides operational leadership in the absence of Claims Managers or Supervisors. The position collaborates with internal departments and external providers to maintain high standards of adjudication, customer service, and regulatory compliance.

Requirements

Minimum 3–5 years of experience in healthcare claims processing, auditing, or training.
High school diploma or equivalent required.
Strong knowledge of medical terminology, coding, and regulatory guidelines (HIPAA, CMS).
Excellent analytical and problem-solving abilities.
Strong communication and presentation skills for effective training delivery.
Proficiency in claims processing systems and Microsoft Office Suite.
Experience with Medicare claims processing and compliance required.

Nice To Haves

Associate or Bachelor’s degree in healthcare administration, business, or related field preferred.
QNXT system experience highly preferred.

Responsibilities

Performing detailed audits of claims processing.
Developing and delivering training programs.
Providing operational leadership in the absence of Claims Managers or Supervisors.
Collaborating with internal departments and external providers to maintain high standards of adjudication, customer service, and regulatory compliance.