• Develop a depth of expertise on CPT, HCPCS, and ICD-10 Coding guidelines and other insurance billing submission requirements. • Perform complex audits of assigned medical records and claims on both a prepayment and post payment basis to determine accuracy of claims submitted to Oscar. • Document findings including reference to sources used to support decision making and in a way that can be easily understood by non clinicians or coders. • Create audit report findings, tools, and reference guide that can be used by other team members to communicate findings or more effectively perform similar reviews. • Help draft written communications to providers to convey audit findings. • Participate in educational calls with providers. • Help train new team members. • Develop and document processes to improve the effectiveness of the team. • Compliance with all applicable laws and regulations • Other duties as assigned