Claims Auditor

Benefits:

401(k)

401(k) matching

Company parties

Dental insurance

Employee discounts

Health insurance

Opportunity for advancement

Paid time off

Parental leave

Savings bank

Training & development

Vision insurance

Wellness resources

About the Role:

MedPOINT Management is looking for a detail-oriented Claims Auditor to join our team in Sherman Oaks, CA. In this critical role, you'll help ensure the accuracy and integrity of claims processing within a dynamic healthcare management environment. If you have a sharp eye for detail and a passion for healthcare operations, we want to hear from you!

Responsibilities:

Audit medical claims for accuracy, completeness, and compliance with payer guidelines and contractual agreements

Review and analyze claims data to identify billing errors, overpayments, and underpayments

Conduct pre- and post-payment audits to ensure proper reimbursement and reduce financial risk

Document audit findings and prepare detailed reports for management review

Collaborate with claims processing and provider relations teams to resolve discrepancies

Monitor claims trends and recommend process improvements to enhance accuracy and efficiency

Ensure compliance with federal, state, and managed care regulations including ICD-10, CPT, and HCPCS coding standards

Requirements:

2+ years of experience in claims auditing, claims processing, or healthcare billing

Strong knowledge of ICD-10, CPT, and HCPCS coding

Familiarity with managed care, IPA, or HMO claims environments preferred

Proficiency in claims management systems and Microsoft Office Suite

Exceptional attention to detail and strong analytical skills

Excellent written and verbal communication skills for reporting and cross-team collaboration

CPC, CCA, or related coding/billing certification is a plus

About Us:

MedPOINT Management is a leading Independent Practice Association (IPA) management company serving the greater Los Angeles area, dedicated to delivering high-quality, coordinated healthcare to patients across Southern California. Providers and patients trust MedPOINT for our commitment to operational excellence and compassionate care coordination. Our team enjoys a collaborative work culture, opportunities for professional growth, and the satisfaction of making a meaningful impact in the healthcare industry.

This is a remote position.