Oscar Health
Itemized Bill Reviewer
$83K–$109K
Tempe, Arizona, United States +1 · Full-time · Posted Aug 24, 2026
- Location
- Tempe, Arizona, United States
New York, New York, United States - Experience
- 2+ years of bill/coding audit experience focused on hospital or facility billing (UB-04); 4+ years of medical coding experience; bachelor's degree or 4+ years of commensurate experience.
- Education
- Bachelor's degree or 4+ years of commensurate experience.
About the job
Reviews facility itemized bills and claims for accurate coding, billing, and reimbursement, and helps improve payment integrity processes and policies.
What you'll do
- Review high-dollar facility bills and claim forms for billing errors, coding accuracy, and compliance with contracts and guidelines.
- Document findings and recommend claim adjustments; investigate payment issues and respond to billing, coding, and policy inquiries.
- Improve audit processes and tools, develop payment integrity opportunities and requirements, and provide subject matter expertise and training.
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
USD 82,717 - 108,566 per year (base salary)
Tools
UB-04, CPT, HCPCS, ICD-10, MS-DRGs, Excel, SQL
AI focus
The posting describes Oscar's AI guidelines for candidates and recruiting, but does not state that this role performs AI work.
Model-written summary · the original posting is authoritative