Senior Specialist, Coding Auditor

Oscar Health
Washington, D.C., NY
Job Description
Oscar is a health insurance company focused on serving its members with a full-stack technology platform. They are seeking a Senior Specialist, Coding Auditor to assess trends and patterns in FWA, audit prepayment and post-payment claims, and reduce fraud, waste, and abuse within their operations. The role involves working closely with managers and partners to ensure accurate claims processing and compliance with regulations.

Requirements

  • 1+ years of auditing experience across multiple specialties.
  • Certified Professional Coder (CPC) designation or similar certification (required for SIU)
  • Bachelor's degree or 4+ years of work experience.

Benefits

  • Medical
  • Dental
  • Vision
  • Paid Holidays
  • Paid Sick Time
  • Paid Parental Leave
  • 401(k) plan participation
  • Life and disability insurance
  • Paid wellness time and reimbursements
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