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