Oscar is hiring an Associate, Itemized Bill Reviewer to join the Payment Integrity team.
This role focuses on executing internal payment integrity solutions that require billing and coding expertise, while also supporting continual improvement of related tools and workflows. The position ensures claims are paid accurately and timely, with a strong emphasis on quality, collaboration, and process improvement.
You will report to the Manager, Payment Integrity (Pre-Pay).
Work location is fully remote for candidates residing in the U.S., with exclusions for certain states and U.S. territories. Occasional travel may be required for team meetings and company events.
Qualifications
- Bachelor's degree or 4+ years of commensurate experience
- 2+ years of bill/coding audit experience with a focus on hospital or facility billing (UB-04)
- 4+ years of experience in medical coding
- Medical coding certification through AAPC (CPC, COC) or AHIMA (CCS, RHIT, RHIA)
- Experience with reimbursement methodologies, provider contract concepts, and common claims processing/resolution practices
Preferred
- 3+ years of experience working with large data sets using Excel or a database language
- Knowledge management, training, or content development experience in operational settings
- Process improvement or Lean Six Sigma training
- Experience using SQL
Benefits
- Medical, dental, and vision coverage
- Unlimited vacation program
- Annual performance bonuses
- 11 paid holidays
- Paid sick time
- Paid parental leave
- 401(k) plan participation
- Life and disability insurance
- Paid wellness time and reimbursements
Location
N/A
Employment Type
Full-time
Experience Level
Associate
Salary Range
$82,717 - $120,629
Remote work allowed
Yes
Posted
2 weeks ago