Oscar

Award-winning recruitment consultancy; delivering talent across Tech, Digital, Life-Sciences, Energy & Construction

SIU Coding Auditor

AuditorAuditorFull TimeRemoteTeam 51-200H1B SponsorCompany SiteLinkedIn

Location

Arizona + 2 moreAll locations: Arizona, Florida, Texas

Posted

27 days ago

Salary

$75.3K - $98.8K / year

Bachelor Degree3 yrs expEnglish

Job Description

• Perform quality checks of other team members' coding audit reviews and deliver in written or verbal form to ensure accuracy and compliance with coding standards and Oscar policy. • Review dashboards and interpret performance data in support of production goals; Recommend response and inform management before deadlines are missed. • Identify and help develop new processes to ensure efficient and effective audit functions. • Perform complex reviews of medical records and claims on both a prepayment and post payment basis to determine accuracy of claims submitted to Oscar. • Explicitly document findings including sources used to support decision making and in a way that can be easily understood by non clinicians or coders. • Participate in educational calls or written communications to articulate findings to providers under SIU review. • Facilitate team and cross-team education • Compliance with all applicable laws and regulations

Job Requirements

  • Bachelor's degree or equivalent years of experience
  • Certified Professional Coder (CPC) designation or similar
  • 3+ years of coding or auditing experience across multiple specialties.

Benefits

  • employee benefits
  • participation in Oscar's unlimited vacation program
  • annual performance bonuses

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