Sr. Provider Audit Analyst

Point32health Inc

Base: $80,607.48 - $120,911.22; bonus/equity: vari...
Fully remote
Cpt hcpcs icd10-cm code knowledge
Medical claims processing experience
Sas or sql programming skills
Point32Health is a leading not-for-profit organization dedicated to delivering high-quality, affordable healthcare to nearly 2 million members

Job Summary

  • Point32Health is a leading not-for-profit organization dedicated to delivering high-quality, affordable healthcare to nearly 2 million members.
  • The role involves auditing claims for coding accuracy and utilizing comprehensive knowledge of CPT, HCPCS, and ICD10-CM codes to identify recoveries.
  • Employees are eligible for a competitive total rewards package including medical, dental, vision coverage, retirement plans, and paid time off.

Matching Summary

Point32Health is a leading not-for-profit organization dedicated to delivering high-quality, affordable healthcare to nearly 2 million members.

Salary

Base: $80,607.48 - $120,911.22; Bonus/Equity: Variable pay eligibility mentioned; Benefits: Medical, dental, vision, retirement, PTO, life insurance included

Skills & Requirements

Must-have

  • CPT HCPCS ICD10-CM code knowledge
  • Medical claims processing experience
  • SAS or SQL programming skills
  • Advanced Excel and MS Access usage
  • Data mining and analytics capabilities

Nice-to-have

  • Strong critical thinking abilities
  • Independent creative problem solving
  • Excellent organizational skills
  • Experience with appeals review process
  • Ability to work from home

Key Requirements

  • Bachelor's degree in related field
  • 5-7 years healthcare experience required
  • Coding certification (CPC, CCS or equivalent)
  • Master's degree preferred
  • 8-10 years experience preferred

Work Rights

Not specified

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