Oscar Health
Itemized Bill Reviewer
$92K–$121K
New York, New York, United States · Full-time · Posted Aug 24, 2026
- Experience
- 2+ years of bill/coding audit experience focused on hospital or facility billing; 4+ years of medical coding; or 4+ years of commensurate experience as an alternative to a bachelor's degree.
- Education
- Bachelor's degree or equivalent experience (4+ years of commensurate experience).
About the job
Reviews facility itemized bills and claims for billing and coding accuracy, identifies payment issues, and helps improve payment integrity processes and policies.
What you'll do
- Review high-dollar facility bills and claims line by line, validate coding and reimbursement, and document errors and recommended adjustments.
- Identify and investigate claims payment issues; provide expertise on coding, policies, and claims-processing edits to stakeholders.
- Improve audit processes and tools, translate payment integrity opportunities into business requirements, and support training and remediation.
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 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.
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 (USD, base salary)
Tools
UB-04, CPT, HCPCS, ICD-10, MS-DRGs, Excel, SQL
Model-written summary · the original posting is authoritative