Quality Auditor – Claims Submission

Company Description

SPRY Therapeutics, Inc.

customizable workflows, quick migration times

Job Title:

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Quality Auditor – Claims Submission (EDI Audit)

Responsibilities:

• Perform detailed audits of medical claims to ensure completeness, accuracy, and payer compliance
• Identify root causes and recurring issues to recommend actionable improvements
• Document audit findings, prepare reports, and track quality trends
• Provide feedback and coaching to operations teams based on audit results
• Collaborate with internal teams (Eligibility, Billing, Payment Posting, etc.) to improve process efficiency and accuracy
• Ensure adherence to regulatory and client-specific billing requirements

Requirements:

• Graduate in any discipline
• Minimum

  3 years of experience in RCM

• At least

  1 year of official/on-paper experience as a Quality Auditor

• Hands-on experience in

  claims submission

  and

  EDI audit processes

• CPC (Certified Professional Coder) certification is mandatory

• Strong analytical, communication, and documentation skills
• In-depth understanding of

  end-to-end RCM workflows

Nice to Have:

• Familiarity with payer guidelines and denial management
• Exposure to claim scrubbers and audit tools

What We Offer:

• Opportunity to work with a fast-growing health-tech company
• A collaborative, high-performance work culture
• Competitive salary and benefits
• Learning and growth opportunities in a future-focused environment

To apply, please send your resume to

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