Claims Auditor, Reviewer and Coder

Advanced Technologies & Laboratories International, Inc. (ATL) is hiring a Claims Auditor, Reviewer and Coder. The Contractor shall provide expertise in quality assurance, claims processing, medical coding, and audit activities for the WTC Health Program. Responsibilities include supporting quality assurance and audit planning, conducting claims reviews and audits, analyzing claims data to identify trends and issues, researching federal payer coverage policies, developing and improving program policies and procedures, maintaining the health plan codebook, ensuring accurate application of medical coding standards, and recommending improvements to processes and benefit plans based on industry best practices,...