Senior Coding Auditor

Oscar

Senior Specialist, Coding Auditor supporting issue resolution and quality processes in Oscar’s claims environment. Handling complex coding guidelines and conducting audits across multiple specialties from a remote setting.

Posted 6/24/2026full-timeRemote • Arizona, Illinois, Kentucky, Minnesota, New York, Pennsylvania, Texas, Utah • 🇺🇸 United StatesSenior💰 $58,870 - $85,853 per yearWebsite

About the role

Key responsibilities & impact

Support issue resolution in the Oscar claim environment.
Responsible for the end-to-end claims repayment quality, process improvement and supporting root cause analysis.
Report into the VP, Payment Integrity.
Develop and maintain expertise on CPT, HCPCS, and ICD-10 Coding guidelines.
Perform thorough and complex policy updates or audits of assigned documentation on both a prepayment and/or post payment basis.
Document findings including reference to sources used to support decision making.
Create reports and reference guides for other team members.
Assist in drafting written communications to providers.
Participate in educational calls with providers.
Assist in the training of new team members.
Develop and document processes to improve efficiency and effectiveness.

Requirements

What you’ll need

1+ years of coding or auditing experience across multiple specialties.
Certified Professional Coder (CPC) designation or similar certification
Bachelor's degree or 4+ years of work experience
Experience working in health insurance specifically with claims processing, billing, reimbursement, or provider contracting.

Benefits

Comp & perks

employee benefits
unlimited vacation program
annual performance bonuses

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

CPT codingHCPCS codingICD-10 codingclaims processingbillingreimbursementpolicy updatesauditingroot cause analysisprocess improvement

Soft Skills

issue resolutioncommunicationtrainingdocumentationteam collaborationreportingeducational supportefficiency improvementdecision makingorganizational skills

Certifications

Certified Professional Coder (CPC)Bachelor's degree