Health Care Claims Analyst

Withum

Healthcare Claims Analyst responsible for auditing and analyzing healthcare claims at WithumSmith+Brown. Collaborative role requiring strong analytical skills and effective communication.

Posted 6/8/2026full-timeRemote • Maryland • 🇺🇸 United StatesEntry LevelWebsite

About the role

Key responsibilities & impact

Perform audits and quality assurance processes related to claims processing.
Prepare working papers, which record and summarize data in accordance with professional standards.
Organize and maintain audit support files, workpapers, and other relevant documentation.
Analyze healthcare claims data to identify patterns and anomalies.
Prepare detailed reports and dashboards for internal and client use.
Collaborate with cross-functional teams to implement data-driven solutions.
Ensure compliance with healthcare regulations and data privacy standards.
Works as an active team member during scheduled engagements and works collaboratively to achieve the goals of the team.
Provides feedback to the team lead on any issues identified during research or claims review.
Minimal travel may be required based on client needs.

Requirements

What you’ll need

Bachelor’s degree in Healthcare Administration, Business, Accounting, Analytics, Public Health, or a related field preferred
Relevant experience working for a medical TPA either adjudicating or auditing claims may be considered in lieu or a bachelor’s degree.
1 year of experience in healthcare consulting, provider billing, insurance claims adjudication, or related area.
Knowledge of medical claims processing practices including interpretation of plan benefits.
Knowledge of medical coding terminology (e.g., Revenue, DRG, CPT, ICD-10, NDC codes)
Proficiency in Microsoft Office and data analysis tools.

Benefits

Comp & perks

Health insurance
Career growth opportunities
Flexible working conditions
Supportive teamwork culture

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

claims processingdata analysismedical coding terminologyCPT codesICD-10 codesDRG codesNDC codesauditingreport preparationquality assurance

Soft Skills

collaborationteamworkcommunicationproblem-solvingfeedback provisionorganizational skillsattention to detailanalytical thinkingadaptabilityinterpersonal skills