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Claims Auditor

ADP

  • 28 days ago
  • Remote

    Highlights

    About Us: MedPOINT Management is a leading Independent Practice Association (IPA) management company serving the greater Los Angeles area, dedicated to delivering high-quality, coordinated healthcare to patients across Southern California. Our team enjoys a collaborative work culture, opportunities for professional growth, and the satisfaction of making a meaningful impact in the healthcare industry.

    Numbers & Facts

    Location (
    Remote
    )
    IndustryManagement Consulting Services
    Company Size10,000 employees or more
    Websitehttps://jobs.adp.com/life-at-adp/

    Description

    Benefits:
    • 401(k)
    • 401(k) matching
    • Company parties
    • Dental insurance
    • Employee discounts
    • Health insurance
    • Opportunity for advancement
    • Paid time off
    • Parental leave
    • Savings bank
    • Training & development
    • Vision insurance
    • Wellness resources
    About the Role:
    MedPOINT Management is looking for a detail-oriented Claims Auditor to join our team in Sherman Oaks, CA. In this critical role, you'll help ensure the accuracy and integrity of claims processing within a dynamic healthcare management environment. If you have a sharp eye for detail and a passion for healthcare operations, we want to hear from you!


    Responsibilities:
    • Audit medical claims for accuracy, completeness, and compliance with payer guidelines and contractual agreements
    • Review and analyze claims data to identify billing errors, overpayments, and underpayments
    • Conduct pre- and post-payment audits to ensure proper reimbursement and reduce financial risk
    • Document audit findings and prepare detailed reports for management review
    • Collaborate with claims processing and provider relations teams to resolve discrepancies
    • Monitor claims trends and recommend process improvements to enhance accuracy and efficiency
    • Ensure compliance with federal, state, and managed care regulations including ICD-10, CPT, and HCPCS coding standards
    Requirements:
    • 2+ years of experience in claims auditing, claims processing, or healthcare billing
    • Strong knowledge of ICD-10, CPT, and HCPCS coding
    • Familiarity with managed care, IPA, or HMO claims environments preferred
    • Proficiency in claims management systems and Microsoft Office Suite
    • Exceptional attention to detail and strong analytical skills
    • Excellent written and verbal communication skills for reporting and cross-team collaboration
    • CPC, CCA, or related coding/billing certification is a plus
    About Us:
    MedPOINT Management is a leading Independent Practice Association (IPA) management company serving the greater Los Angeles area, dedicated to delivering high-quality, coordinated healthcare to patients across Southern California. Providers and patients trust MedPOINT for our commitment to operational excellence and compassionate care coordination. Our team enjoys a collaborative work culture, opportunities for professional growth, and the satisfaction of making a meaningful impact in the healthcare industry.

    This is a remote position.

    Compensation: $24.00 - $28.00 per hour




    About Company

    ADP powers the working world with comprehensive solutions that drive business success. Consistently named one of the "Most Admired Companies" by FORTUNE® Magazine, and recognized by Forbes® as one of "The World's Most Innovative Companies," ADP has over a half-million clients around the globe and 65 years of experience as one of the largest providers of human capital management solutions world-wide. At ADP, we believe that diversity fuels innovation. ADP is committed to equal employment opportunities regardless of race, color, genetic information, creed, religion, sex, sexual orientation, gender identity, lawful alien status, national origin, age, marital status, non-job related physical or mental disability, or protected veteran status. We support an inclusive workplace where associates excel based on personal merit, qualifications, experience, ability, and job performance.

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