Auditor

• Audit medical claims received from providers for adjudication accuracy. This includes both professional and institutional claims of all types
• Manage internal and external audits
• Provide timely input on compliance-related issues and guidance requests
• Assist with compliance risk assessments and audit readiness
• Assist with new compliance regulation implementation related to claims accuracy
• Collaborate with team members to identify and mitigate compliance risk for claims
• Work closely with Collective Health attorneys to receive and coordinate legal guidance needed to operationalize important initiatives and requirements

Senior Compliance Claims Auditor

IT Internal Auditor – Senior Associate

Principal DRG Coding Auditor

Internal Auditor I – Risk & Controls

Business Auditor

Supplier Claims Auditor