Claims Auditor

Cohere Health(1 month ago)

RemoteFull TimeMedior$105,254 - $141,044 (estimated)Payment Integrity

About this role

The Claims Auditor role sits on Cohere Health’s Payment Integrity team and supports the company’s mission to ensure accurate reimbursement and payment integrity across provider claims. The position is within a high-growth, AI-enabled clinical intelligence company and involves close collaboration with auditors and business teams. Ideal candidates have professional coding credentials and several years of relevant experience and will work in a remote, compliance-focused environment.

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Required Skills

Coding Reviews
Outpatient Coding
Inpatient Coding
Ambulatory Coding
ER Coding
Observation Coding
Infusion Coding
Audit Reporting
DRG Encoding
Overpayment Identification

+8 more

Qualifications

Bachelor's Degree
CCS
CPC
RHIA
RHIT

About Cohere Health

coherehealth.com

Cohere Health is a healthcare technology and services company that transforms utilization management and prior authorization from an administrative burden into a strategic asset. It combines evidence-based clinical pathways, clinician-led review, and a digital platform to streamline authorization workflows, reduce delays, and improve patient access to appropriate care. Cohere partners with payers and provider organizations to lower costs, reduce unnecessary denials, and deliver measurable quality and utilization improvements. Its clinician-centric approach preserves clinical judgment while providing payers greater transparency and alignment with value-based care.