Underpayment Auditor

A company is looking for an Underpayment Auditor 1. Key Responsibilities Review claims and payment information to identify potential underpayments and trends Analyze managed care contracts and investigate third-party payor policies for accuracy Report underpayments and trends to management for further action Required Qualifications High school diploma or GED At least two years of experience with managed care reimbursement Proficiency in ICD-9, ICD-10, CPT Coding, and billing formats Strong analytical skills and self-motivation Ability to train and mentor team members

Apr 8, 2025 - 17:22

A company is looking for an Underpayment Auditor 1. Key Responsibilities Review claims and payment information to identify potential underpayments and trends Analyze managed care contracts and investigate third-party payor policies for accuracy Report underpayments and trends to management for further action Required Qualifications High school diploma or GED At least two years of experience with managed care reimbursement Proficiency in ICD-9, ICD-10, CPT Coding, and billing formats Strong analytical skills and self-motivation Ability to train and mentor team members