Claims Specialist - Medical Auditor (Clinical Documentation & Coding Compliance)

Greenlife Healthcare Staffing • Jericho, NY

2d • $52 - $52 • Remote

About The Position

An established peer-review and compliance organization is seeking a candidate with experience in billing and coding with a claims background for a Claims Specialist - Medical Auditor role. The position supports independent dispute resolutions through CMS (Center for Medicaid Services). Experience with multispecialty coding and billing is highly preferred.

Requirements

• CPC, CPMA, CCS, or related credential
• 3+ years of coding/auditing experience
• Strong understanding of coding compliance and documentation standards
• Strong communication and presentation abilities
• Expert knowledge of ICD-10, CPT, HCPCS
• Analytical and investigative skills

Nice To Haves

• Experience with multispecialty coding and billing

Responsibilities

• Perform detailed retrospective and prospective coding audits
• Prepare audit findings and summary reports
• Identify compliance risks and recommend corrective actions
• Provide education to coders and clinical staff

Benefits

• Comprehensive benefits package

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed