Stop Loss Claim Auditor Intern
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Stop-loss claim auditing intern supporting CTI Audit Solutions' healthcare claims audits. Reviewing documentation, analyzing medical data, and preparing audit findings remotely.
Responsibilities:
- Assist with reviewing and auditing specific stop loss claim submissions
- Validate claim documentation and supporting records for completeness and accuracy
- Analyze medical and pharmaceutical claims data
- Assist in identifying claim discrepancies, overpayments, and audit findings
- Utilize Excel and other Microsoft Office applications to organize, analyze, and report data
- Support auditors in preparing client reports and audit summaries
- Participate in process improvement initiatives and special projects
- Maintain confidentiality of protected health information (PHI) and sensitive client data
- Communicate with team members regarding audit findings and project status
Requirements:
- Currently a sophomore in college pursuing a degree in Healthcare or a Science related field
- Strong analytical and critical thinking skills
- High attention to detail and strong organizational skills
- Proficiency in Microsoft Office, particularly Excel, Word, and Outlook
- Excellent written and verbal communication skills
- Ability to work independently and manage multiple tasks in a remote environment
- Coursework or internship experience related to healthcare, insurance, auditing, or claims administration (preferred)
- Familiarity with healthcare claims processing or medical billing concepts (preferred)
- Experience using Excel features such as formulas, sorting, filtering, and pivot tables (preferred)
- Exposure to healthcare reimbursement methodologies, including Medicare, DRG, or RBRVS (preferred)
- Experience with Microsoft Access or other database applications (preferred)
Benefits:
- Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance
- ESPP
- 401k
- Student Loan Assistance
- Tuition Reimbursement
- Free Mental Health & Enhanced Advocacy Services
- Paid Time Off
- Holidays
- Preferred Partner Discounts
Similar Jobs
Internal Process Auditor
Internal Process Auditor ensuring ISO 9001:2015 compliance across KAIZEN’s PPM, AMC, and building insurance services. Leading audits, risk management, QMS improvements, and corrective actions.
Claims Auditor
Claims Auditor reviewing managed-care claims and reporting processing errors for Providence healthcare network. Ensuring data integrity, adjudication accuracy, and regulatory compliance.
Senior Inpatient Coding Auditor
Inpatient coding auditor reviewing medical records, diagnoses, procedures, and DRG assignments. Supporting Gainwell’s healthcare solutions through compliant audits, documentation, and coder training.
Associate REMS Auditor
Associate REMS Auditor supporting stakeholder audits, documentation review, and FDA/REMS compliance. UBC provides pharmaceutical support services across drug development and commercialization.
REMS Compliance Auditor
REMS Auditor supporting pharmaceutical compliance audits for UBC’s drug development and commercialization services. Reviewing stakeholder documentation, recording findings, and supporting regulatory-quality initiatives.
Internal Auditor
Internal Auditor validating GRC controls and evidence for Workstreet’s cybersecurity compliance programs. Conducting ISO, HIPAA, and GDPR audits for global clients.
Inpatient Coding Auditor
Inpatient coding auditor ensuring accurate, compliant hospital coding for OU Health. Auditing coder work, validating DRGs, and delivering targeted education.
Claims Auditor
Claims Auditor auditing medical billing accuracy and compliance for MedPOINT Management, an IPA healthcare management company. Identifying payment discrepancies and improving claims operations remotely.
Senior Insurance Auditor
Senior insurance auditor conducting physical and remote audits for EXL, a data analytics and digital operations company. Reviewing business records, interviewing insureds, and preparing carrier reports.
Coding Auditor
Professional Coding Auditor auditing clinical documentation and CPT/ICD-10 coding for WellStreet Urgent Care. Improving compliance, charge capture, reimbursement, and provider coding quality.
Coding Auditor
Professional Coding Auditor auditing CPT and ICD-10 coding for WellStreet Urgent Care. Educating providers and coders while improving documentation, compliance, charge capture, and reimbursement.
Medical Review Auditor – Fraud Waste and Abuse
Medical Review Auditor auditing medical records and healthcare claims for Cotiviti’s Fraud, Waste & Abuse clients. Evaluating coding accuracy, policy compliance, and suspicious documentation patterns.
Risk Adjustment Auditor – Educator
Centene risk adjustment auditor educator improving healthcare coding accuracy for Georgia and Florida providers. Auditing records, analyzing MRA data, and training contracted healthcare providers.
Quality Auditor
Quality Auditor reviewing files against compliance criteria for DAC Beachcroft, a UK law firm. Reporting findings, identifying risks and trends, and coordinating corrective actions across business services.
Experienced Auditor – Insurance, Asset Wealth Management
SAPRO hiring remote audit professionals for insurance and asset wealth management client engagements. Delivering complex audit work, leading teams, and managing budgets across Senior, SIC, and Manager levels.
Coding Auditor
Professional Coding Auditor reviewing urgent-care documentation, CPT, and ICD-10 coding for WellStreet Urgent Care. Improving compliance, charge capture, provider education, and reimbursement accuracy.
Eligibility Auditor
Medicaid Eligibility Auditor supporting Analytica’s U.S. government consulting practice. Reviewing beneficiary determinations, identifying program risks, and preparing federal audit reports and corrective actions.
Vehicle Inventory Auditor
Part-time Vehicle Inventory Auditor conducting automotive repair-facility audits for CCC, a cloud platform serving the insurance economy. Documenting inspections and submitting accurate audit data across assigned areas.
Healthcare Quality Management Auditor
Healthcare quality auditor conducting behavioral health audits for CVS Health. Improving clinical services through quality measurement, corrective actions, and field-based reviews across Arizona.
Lead Certification Auditor – Pharma, Cosmetics and Personal Care
Contract Lead Certification Auditor conducting third-party pharma, cosmetics, personal-care, and medical-device audits for SGS, a global testing and certification company.