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Medicaid Claims Auditor – Reimbursement & QA
Job in
Northern, Floyd County, Kentucky, USA
Listed on 2026-08-31
Listing for:
Cook Children's
Full Time
position Listed on 2026-08-31
Job specializations:
-
Healthcare
Healthcare Compliance, Medical Billing and Coding
Job Description & How to Apply Below
Location: Northern
Cook Children's in Fort Worth, TX is seeking a Claim Auditor I to audit behavioral and medical claims for Texas Medicaid and CHIP, ensuring payment integrity, coding accuracy, and compliance with regulatory standards. The role includes post-claims reviews, monthly sampling for routine to moderate complexity, and pre-auditing high-dollar claims.
Strong organizational, problem-solving, and customer service skills are essential, with Associates degree or 5+ years of claims/audit experience
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