Siu Coding Auditor

Oscar Health

Arizona, US
Base: $75,265 - $98,785 py; bonus/equity: annual p...
Remote
Coding audit reviews
Medical records and claims review
Document findings and sources
The Associate, Special Investigations Unit Coding Auditor executes on Oscar's anti-fraud initiatives by supporting operational and financial targets while adhering to legal and regulatory obligations

Job Summary

  • The Associate, Special Investigations Unit Coding Auditor executes on Oscar's anti-fraud initiatives by supporting operational and financial targets while adhering to legal and regulatory obligations.
  • Perform complex reviews of medical records and claims on both a prepayment and post payment basis to determine accuracy of claims submitted to Oscar.
  • Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Matching Summary

The Associate, Special Investigations Unit Coding Auditor executes on Oscar's anti-fraud initiatives by supporting operational and financial targets while adhering to legal and regulatory obligations.

Salary

Base: $75,265 - $98,785 per year; Bonus/Equity: annual performance bonuses; Benefits: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements

Skills & Requirements

Must-have

  • coding audit reviews
  • medical records and claims review
  • document findings and sources
  • compliance with laws and regulations

Nice-to-have

  • innovative process recommendations
  • provider education and communication
  • cross-team collaboration and education

Key Requirements

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

Work Rights

Not specified

Tailored Resume

Cover Letter