Claims Auditor Salary in United States

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Average Salary for Claims Auditor in United States

The average salary of a(n) Claims Auditor in United States is $40,067.

The average hourly rate of a(n) Claims Auditor in United States is $19.26.

The average bonus of a(n) Claims Auditor in United States is $1,002.00.

Job Description:

Audits claims to ensure accuracy of claims determinations. Manages and coordinates the reporting, review, and maintenance of data for use in supporting audit functions. Performs claims audits based on audit program and specified target audits as assigned. Documents audit findings accurately. Assures quality of claim determinations and ensures compliance with regulations and plan requirements. Researches, analyzes, and understands claims processing and payment regulations. Understands and applies standard pricing methodologies for claims. Identifies underpayments/overpayments and generates reports to quantify amounts detected through audit process. Communicates errors to Production Manager or Supervisor and trends errors for corrective actions. Identifies and develops potential areas for claim audits. Evaluates audit initiatives and identifies enhancements to the audit processes and procedures as needed. Determines whether to accept, reject, or request additional information based on policies and procedures. Less

Audits claims to ensure accuracy of claims determinations. Manages and coordinates the reporting, review, and maintenance of data for use in supporting audit functions. Performs claims audits based on audit program and specified target audits as assigned. Documents audit findings... More

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Results for Claims Auditor in United States

Medical Claims Auditor - Phoenix, AZ

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This position conducts weekly adjudicated claims audit for all forms of claim types:. The Auditor secures data integrity and works accuracy standards by...

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Auditor, Medical Claims - Frisco, TX

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Adjusters, claim adjudication experts, contract compliance, payment policy, pricing, ITS, Coordination of benefits, team leader, system configuration, claim...

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Forensic Auditor, GS-0511-11 - Saint Paul, MN

Department Of Justice

A certificate as Certified Public Accountant or a Certified Internal Auditor, obtained through written examination;...

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RUG Auditor - Remote

SCIO Health Analytics

Familiarity with UB claim form preferred. The RUG auditor is a permanent full time, work at home position, responsible for the review of medical records in...

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Medical Coding & Documentation Auditor I - Aurora, CO

University Physicians, Inc.

We are seeking a highly motivated Medical Coding & Documentation Auditor I to join our team. The Auditor will communicate findings to Medical Staff and other...

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