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Coding Investigator Auditor
Health Care Service Corporation. Performing clinical, billing, coding and lowest cost setting reviews for services pre and post payment .
Posted 5/20/2026full-timeTulsa • Oklahoma • 🇺🇸 United StatesMid-LevelSenior💰 $55,900 - $123,500 per yearWebsite
About the role
Key responsibilities & impact- Performing clinical, billing, coding and lowest cost setting reviews for services pre and post payment
- Utilizing medical, contractual, legislative, policy, and other information to validate claims submitted and billed
- Conducting research
- Preparing documentation of findings
- Consulting with medical directors as needed
- Coordination with all departments involved in each case required such as special investigations, customer service, pass, network management, marketing, case management, medical review, legal, pricing and database.
Requirements
What you’ll need- Bachelor Degree
- One year of business experience, law enforcement experience, or regulatory agency experience may substitute for each year of college
- Certified Coding Certification, or acquire within 24 months of hire
- 3 years experience in claims processing operations and reporting systems, including 2 years experience in auditing or developing computer system reports
- Knowledge of accreditation, i.e. URAC, NCQA standards and health insurance legislation
- Awareness of claims processes and claims processing systems
- PC proficiency to include Microsoft Word and Excel and health insurance databases
- Verbal and written communication skills with ability to communicate to physicians, members and providers and compose and explain document findings
- Organizational skills and prioritization skills.
Benefits
Comp & perks- Health and wellness benefits
- 401(k) savings plan
- Pension plan
- Paid time off
- Paid parental leave
- Disability insurance
- Supplemental life insurance
- Employee assistance program
- Paid holidays
- Tuition reimbursement
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
claims processingauditingreporting systemsmedical codingdocumentation preparationresearch
Soft Skills
verbal communicationwritten communicationorganizational skillsprioritization skills
Certifications
Bachelor DegreeCertified Coding Certification