Claims Auditor
Los Angeles, Los Angeles County, California, 90079, USA
Listed on 2026-09-12
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Healthcare
Medical Billing and Coding, Healthcare Administration, Healthcare Compliance
Benefits:
- 401(k)
- 401(k) matching
- Company parties
- Dental insurance
- Employee discounts
- Health insurance
- Opportunity for advancement
- Paid time off
- Parental leave
- Savings bank
- Training & development
- Vision insurance
- Wellness resources
MedPOINT Management is looking for a detail-oriented Claims Auditor to join our team in Sherman Oaks, CA. In this critical role, you'll help ensure the accuracy and integrity of claims processing within a dynamic healthcare management environment. If you have a sharp eye for detail and a passion for healthcare operations, we want to hear from you!
Responsibilities:- Audit medical claims for accuracy, completeness, and compliance with payer guidelines and contractual agreements
- Review and analyze claims data to identify billing errors, over payments, and underpayments
- Conduct pre- and post-payment audits to ensure proper reimbursement and reduce financial risk
- Document audit findings and prepare detailed reports for management review
- Collaborate with claims processing and provider relations teams to resolve discrepancies
- Monitor claims trends and recommend process improvements to enhance accuracy and efficiency
- Ensure compliance with federal, state, and managed care regulations including ICD-10, CPT, and HCPCS coding standards
- 2+ years of experience in claims auditing, claims processing, or healthcare billing
- Strong knowledge of ICD-10, CPT, and HCPCS coding
- Familiarity with managed care, IPA, or HMO claims environments preferred
- Proficiency in claims management systems and Microsoft Office Suite
- Exceptional attention to detail and strong analytical skills
- Excellent written and verbal communication skills for reporting and cross-team collaboration
- CPC, CCA, or related coding/billing certification is a plus
MedPOINT Management is a leading Independent Practice Association (IPA) management company serving the greater Los Angeles area, dedicated to delivering high-quality, coordinated healthcare to patients across Southern California. Providers and patients trust MedPOINT for our commitment to operational excellence and compassionate care coordination. Our team enjoys a collaborative work culture, opportunities for professional growth, and the satisfaction of making a meaningful impact in the healthcare industry.
This is a remote position.
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