Senior Medical Claims Auditor

Financial Management Indianapolis, Indiana


Description

Responsibilities:

Conduct assessments of medical claims to ensure compliance with eligibility criteria

Performs and supports all audits and assessments through phases of planning, pre-audit, fieldwork, and reporting

Researching and developing audit criteria, checklists, test/assessment strategies

Developing findings and recommendations
Supports junior personnel with complex audit tasks

Minimum Requirements:

Expertise in medical claims documentation

Knowledge of coding concepts

Knowledge of scope and statistical sampling methodologies

Quality assurance and coding risk analysis

Experience communicating results and findings

Ability to work with clients to understand their needs

Ability to maintain a positive relationship with customers and other vendors

Demonstrated ability to adhere to quality assurance processes to review and verify work for accuracy

Excellent written and oral communication skills

Professional presence is required

All candidates must be U.S. Citizens and be able to pass a Federal background investigation

Ability to obtain a Position of Public Trust

 

Preferred Skills:

Certified Professional Medical Auditor (CPMA) certification

5+ Years of experience

Past experience working for a Federal Agency

Strong organizational and time management skills

Capability to work in a team environment, as well as independently

Possess motivation to learn new technologies and methodologies that demonstrate value

 

About CSCI

CSCI is an award-winning information technology and financial management consulting firm founded on one simple philosophy: “Do what is right, always.” We apply this philosophy across all elements of our growing business, from delivering world-class services for customers to providing an environment for associates that encourages personal and professional growth. At CSCI, work and fun aren’t diametrically opposed. Our goal is to hire people with proven track records and retain them with an energizing, diverse company culture. We value each associate’s natural drive to excel, and we provide them with the freedom to do things their way. CSCI seeks the best and brightest in the industry; those who are ready to move their lives and career forward. Join us today, and get excited about Mondays again!

 Benefits of Working at CSCI

  • Competitive Salaries
  • 20 Days Paid Time Off (PTO), plus Paid Holidays
  • Full Health Benefits Package including Medical, Dental, and Vision
  • 401K Retirement Plan
  • Team Building Events and Employee Parties

 CSCI is an Equal Opportunity/Affirmative Action Employer

Minorities, females, veterans, individuals with disabilities, sexual orientation, and gender identity. While all candidates are considered, CSCI encourages the above individuals to apply.

 CSCI is committed to helping individuals with disabilities to participate in the workforce and ensuring equal opportunity to compete for jobs. If you require an accommodation, please contact CSCI Human Resources for further assistance. For questions regarding the qualifications listed above, please contact the CSCI Talent Acquisition Team.

DISCLAIMER

The above declarations are not intended to be an all-inclusive list of the duties and responsibilities of the job described, nor are they intended to be such a listing of the skills and abilities required to do the job. Rather, they are intended only to describe the general nature of the job.

We are an E-Verify employer where mandated by State or Federal contracts.

For more information, please click on the following links:
E-Verify Participation Poster: English | Spanish
E-Verify Right to Work Poster: English | Spanish