Claims Audit Extern
virtual vocationsNew York (NY)
About the role
Supporting claims audits and quality assurance reviews, the full-time Claims Audit Extern will gain hands-on experience in healthcare claims auditing while working remotely with provider clinics and cross-functional teams to ensure coding accuracy and compliance.
Key responsibilities:
Participate in claims audits, including selecting patient claim samples and validating coding and billing accuracy
Document audit findings and prepare comprehensive audit reports and required documentation
Educate provider clinics on audit findings and coding requirements, while assisting with special projects as neededRequired qualificationsCPC-A, CPC, CCA, CCS, or CCS-P certification required
Strong proficiency in Microsoft Office, especially Excel, with experience in managing large datasets
Working knowledge of CPT, HCPCS, ICD-10-CM coding, and healthcare claims concepts
Ability to work independently in a fast-paced environment while managing multiple priorities
Interest in healthcare audit, coding, payment integrity, and process improvement
Before you apply
Applying takes about a minute. These four things decide how fast it moves after that.
Your profile is current
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Two examples you can talk through
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A number in mind
What you're on now and what would make you move. We negotiate better when we know both.
Your notice period
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Once you apply, someone reads it and calls you before anything reaches the employer — usually within two working days.
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