Clinical Audit Response Specialist

Detail-oriented and analytical, the full-time Clinical Audit Response Specialist will support accurate and compliant responses to payer audits and appeals while collaborating with cross-functional teams in a hybrid work environment based in Portsmouth, NH. Key responsibilities Review and respond to commercial and governmental payer audits in a timely and compliant manner Analyze medical records and prepare documentation for audit responses and appeals Coordinate with internal teams to gather necessary documentation for submissions and track audit activity Required qualifications Ability to review and interpret medical records and payer requests Strong written and verbal communication skills for preparing appeal documentation Experience managing multiple deadlines while ensuring accuracy and compliance Familiarity with Microsoft Office products Commitment to maintaining confidentiality and compliance with regulatory standards