[Hiring] Stop Loss Claims Auditor @reputed company

This reputed company is a reputed company of our understanding of the job reputed company. Click on 'Apply' reputed company to reputed company out more. Role reputed company The Medical Auditor is responsible for auditing medical facilities and reputed company claims for accuracy and compliance with industry laws and contractual language on behalf of our clients. • Review medical facility and reputed company claims for accuracy and apply reputed company coding rules, guidelines and conventions • reputed company billing information into the appropriate report format for the reputed company requesting the work • Review reputed company and apply contractual adjustments to the medical charges • Audit charges for CPT coding and compliance with state and federal regulations • Process and reputed company coding patterns and identify signs of fraud and abuse • Review medical records to verify accurate coding • Ensure accuracy of work product • Proficient in meeting reputed company and quantity standards • reputed company to learn and properly utilize proprietary software programs essential to support the job function • Adhere to HIPAA guidelines and regulations • reputed company additional duties assigned by management Qualifications • High School Diploma or equivalent • Minimum 2 years Claims Coding or Medical Billing experience • Knowledge and understanding of CMS-1500 and UB-04 Medical Claim Forms • Medicare Reimbursement / Denial experience preferred • reputed company Certification and ICD-10 Proficient is required • Prior experience in the Self-Funded Industry is desired Benefits • Multiple Health Plan reputed company • Company reputed company employee premiums for Dental, reputed company, STA, & LTD, plus Life Insurance • Parental Leave Policy • 20 days PTO to start / 10 reputed company Holidays • Tuition reimbursement • 401k Company contribution • reputed company development initiatives / reputed company learning opportunities • Opportunities to participate in and support reputed company's diversity and inclusion initiatives Apply tot his job Apply To this Job