North AmericaFull TimeOperations
Remotely
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Job Description
📋 Description
- Remote role focused on itemized bill review (IBR) with billing/coding expertise
- Execute internal payment integrity solutions and improve them with cross-functional collaboration
- Ensure claims are paid accurately and timely using Oscar's claim infrastructure and data models
- Report to Manager, Payment Integrity (Pre-Pay)
🎯 Requirements
- Bachelor's degree or 4+ years of commensurate experience
- 2+ years of bill/coding audit experience (hospital/facility UB-04)
- 4+ years of medical coding experience
- Medical coding certification (AAPC or AHIMA)
- Experience with reimbursement methodologies and provider contracts
🎁 Benefits
- Base pay: 82,717 - 108,566 USD per year
- Benefits: medical, dental, vision; 401(k); PTO & holidays
- Bonus opportunities and unlimited vacation program
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