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Medicare Claims Auditor - Quality & Compliance

Job in Miami, Miami-Dade County, Florida, 33222, USA
Listing for: Solis-Health-Plans
Full Time position
Listed on 2026-09-30
Job specializations:
  • Healthcare
    Healthcare Compliance, Medical Billing and Coding, Healthcare Administration, Healthcare Management
Job Description & How to Apply Below
Position: Medicare Claims Auditor I - Quality & Compliance

Solis-Health-Plans in Doral, FL is seeking a Claims Auditor I to perform pre- and post-payment audits of Medicare-related claims within a managed care environment. The role emphasizes payment accuracy, CMS guidelines, and compliance.

You will review CPT/HCPCS/ICD coding, pricing and reimbursement methods, and collaborate with claim examiners to identify discrepancies and improve processes. Minimum qualifications include a high school diploma and several years of claims processing experience;

We are seeking a motivated Medicare Claims Auditor I
- Quality & Compliance to join Solis-Health-Plans in FL, United States.

This is a genuine position to take on the Medicare Claims Auditor I
- Quality & Compliance role at Solis-Health-Plans.

As a Medicare Claims Auditor I
- Quality & Compliance, you will play an important part at Solis-Health-Plans in FL, United States.

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