Job Summary. The Claims Auditor role at American Benefit Corporation is a dynamic opportunity for recent graduates or those transitioning from medical or dental coding. This position involves examining claims and determining benefits in accordance with plan provisions. Key Responsibilities. Examine claims and determine benefits in accordance with plan provisions. Follow through on problems or requests resulting from phone inquiries in accordance ...
We are in search of a Medical Claims Auditor to join our team located in El Monte, California. This position will involve meticulous examination of medical claims, leveraging a deep understanding of medical terminology and claims adjudication. The role offers a short term contract employment opportunity and involves a significant amount of interaction with claims audits and claim denials.Responsibilities:• Conduct thorough audits of medical claim...
Description. Carefully examine medical claims documentation, including medical records, bills, and supporting documents, to verify the accuracy and completeness of information submitted by healthcare providers. Apply appropriate coding guidelines (e.g., ICD-10, CPT, HCPCS) to ensure that diagnoses, procedures, and services are correctly coded, in accordance with industry standards and regulatory requirements. Validate the appropriateness of claim...
