Oscar Health
Itemized Bill Reviewer
$83K–$121K
Remote +1 · Remote · Full-time · Posted Oct 22, 2026
- Location
- Remote
New York, New York, United States - Experience
- 2+ years of bill/coding audit experience focused on hospital or facility billing; 4+ years of medical coding; bachelor's degree or 4+ years of commensurate experience.
- Education
- Bachelor's degree or equivalent commensurate experience (4+ years).
About the job
Reviews facility itemized bills and claims for coding and billing accuracy, identifies payment issues, and helps improve payment integrity processes and policies.
What you'll do
- Review high-dollar facility bills and claims, validate coding and reimbursement, and document billing errors and recommended adjustments.
- Analyze payment issues and collaborate with stakeholders to improve claims processes, audit tools, edits, and reimbursement policies.
- Provide subject matter expertise, respond to inquiries and disputes, and train team members as needed.
What they ask for
- Bachelor's degree or 4+ years of commensurate experience.
- 2+ years of bill/coding audit experience focused on hospital or facility billing (UB-04).
- 4+ years of medical coding experience.
- 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.
Nice to have
- 3+ years working with large data sets using excel or a database language; experience using SQL.
- Knowledge management, training, or content development in operational settings; Process Improvement or Lean Six Sigma training.
Pay
$91,908 - $120,629 per year (base salary); $82,717 - $108,566 per year (base salary)
Tools
UB-04, CPT, HCPCS, ICD-10, MS-DRGs, excel, SQL
Model-written summary · the original posting is authoritative