Medical Review Auditor Analyst Remote - Charlotte Area

Position Overview

Conduent delivers mission-critical services and solutions for Fortune 100 companies and over 500 governments. In the role of Medical Review Auditor Analyst (Remote - Charlotte Area), you will work closely with hospital-clients and internal stakeholders, using industry and proprietary tools to ensure successful audits. You will work remotely with occasional travel and report directly to the Sr. Operations Manager.

Key Responsibilities

• Audit medical bills for unrelated charges, overpayments/reimbursements, and overall accuracy.
• Assess payments against regulatory or administrative charges, coding, and billing errors.
• Conduct medical audits to identify healthcare overpayments and underpayments to providers.
• Utilize provider billing and patient accounting systems to research potential overpayments.
• Develop and ensure adherence to client policies, regulations, and guidelines.
• Perform other tasks as directed by management.

Required Qualifications

• Must have hospital business office experience.
• Strong mathematical skills to perform accurate audits.
• Excellent customer service skills with the ability to collaborate across teams.
• Proficiency in Microsoft Office and industry-specific software.
• Ability to thrive in a fast-paced environment and work independently.
• Comfortable working remotely with occasional on-site visits.
• Strong communication skills (interpersonal, written, and verbal).
• Dependable, willing to travel, and must possess a valid driver's license.

Preferred Qualifications

• A bachelor’s degree in Healthcare Administration, Business Management, or related fields is highly desired (or 10 years of hospital billing experience may substitute for a degree).
• Experience in an auditing role, healthcare industry, or insurance is highly desired.
• Experience in industries such as Accounting, Finance, or Healthcare Administration is a plus.

Benefits & Perks

• Compensation: Estimated salary range $57,750 - $75,000; actual salaries may vary based on location, experience, and performance. Bonus/incentive opportunities may apply.
• Health and Welfare Benefits: Tailored coverage starting on your first day of employment.
• Retirement Savings: Support to secure your future.
• Employee Discounts: Access to global, national, and local discounts on merchandise, services, travel, and more.
• Career Growth Opportunities: Opportunities to advance your career within a global portfolio of businesses.
• Training: Access to award-winning learning platforms for continuous development.
• Great Work Environment: Join an inclusive, award-winning culture that values authenticity and diversity.