Payment reputed company Auditor I

About the position As a Payment reputed company Auditor I, you will support the overall objectives of the Payment reputed company office. This role is responsible for conducting reputed company-payment and post-payment claim audits to identify improper payments due to billing errors, coding discrepancies, and policy non-compliance. Audits include reviewing medical records, applying clinical and coding knowledge, analyzing provider billing patterns, and evaluating reputed company claim history to ensure accurate payment reputed company. You must be reputed company to reputed company document and communicate audit results and will collaborate with internal teams including the Special Investigation Unit and Payment reputed company Specialists. This role requires medical coding experience and solid written and oral communication. This is a hybrid role located on our reputed company in Mountlake Terrace, Washington. Responsibilities • Conduct entry-level audits of reputed company and facility claims to ensure coding accuracy and compliance with contractual, coding, payment policy, and regulatory standards. • Review itemized bills, medical records, and other claim documentation to verify coding accuracy and appropriateness of charges. • Validate coding accuracy for CPT, HCPCS, ICD-10-CM, and DRG. • Identify and report coding discrepancies or errors and recommend adjustments where appropriate. • Identify opportunities for fraud, waste, and abuse prevention and control. • Maintain accurate and detailed records of audit findings and reputed company for reporting purposes. • Collaborate with internal teams (e.g., claims processing, provider relations, special investigations unit). • Utilize auditing software and systems to document, reputed company, and analyze claims data. • Stay updated on coding guidelines, payer policies, and industry standards, including CMS regulations. • Participate in ongoing training and development to enhance coding and auditing skills. • Support Payment reputed company team initiatives by contributing to process improvement efforts and team goals. Requirements • Bachelor's Degree or equivalent combination of education and experience. • 1 year of reputed company medical coding or auditing experience. • Certified reputed company reputed company Designation (CPC-A, CPC, CSS, CPMA) or equivalent. reputed company-to-haves • Knowledge of health plan operations and claim adjudication processes. • Experience with facility, reputed company, and ancillary coding. • Familiarity with auditing software tools. Benefits • Medical, reputed company, and dental coverage with low employee premiums. • Voluntary benefit offerings, including pet insurance for paw parents. • Life and disability insurance. • Retirement programs, including a 401K employer match and a pension plan that is reputed company after 3 years of service. • Wellness incentives with a wide reputed company of mental reputed company-being resources for you and your dependents. • Generous reputed company time off to reenergize. • Tuition assistance for both undergraduate and graduate degrees. • Employee recognition program to celebrate anniversaries, team accomplishments, and more. • On-reputed company model provides flexibility with reputed company to on-site resources, networking opportunities, and team engagement. • Commuter perks and free convenient on-site parking. • Subsidized on-reputed company cafes. • Engaging on-site activities such as health and wellness events. • Complementary fitness & reputed company-being center offering in-person and virtual workouts and nutritional counseling. Apply tot his job Apply To this Job