Job Title:
Auditor I
Location:
Remote (MI Candidates Only)
Schedule:
Monday–Friday, standard business hours
Type:
W2 Contract (No C2C)
Pay Rate:
Up to $31-34/hour
Summary
The Audit Coordination Analyst will support audit coordination efforts for group customer accounts requesting claims accuracy reviews. This role is responsible for managing inbound audit requests, coordinating documentation, tracking issues, and facilitating communication between customers and internal operational teams. The ideal candidate is highly detail-oriented, experienced in medical claims, and comfortable navigating complex claims data within a regulated healthcare environment.
Key Responsibilities
- Manage and intake inbound audit requests related to claims accuracy reviews for group Medicare accounts
- Coordinate collection, organization, and submission of required audit documentation
- Track audit issues, findings, and resolutions to ensure timely completion
- Serve as the primary liaison between customers and internal operational teams
- Facilitate clear communication and updates on audit progress and outcomes
- Analyze medical claims data to identify discrepancies and support validation efforts
- Ensure compliance with CMS rules and regulatory requirements throughout audit activities
- Support project timelines, deliverables, and cross-functional coordination efforts
Required Qualifications
- Experience with medical claims or benefits (Medicare Advantage or Commercial)
- Strong knowledge of CMS rules and regulations
- Proven project management experience in a healthcare or audit-related environment
- Strong communication skills with the ability to coordinate across teams and stakeholders
- Demonstrated ability to manage multiple tasks, deadlines, and priorities
- Detail-oriented with the ability to interpret and analyze complex claims data
Preferred Qualifications
- Experience with IKA or NASCO claims processing systems
- Experience with data validation and audit support processes
- Prior experience supporting healthcare audits or compliance initiatives
Education
- Bachelor’s degree in Business Administration, Healthcare Administration, Accounting, Finance, or a related field preferred
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