Claims Audit Extern

Progyny • Remote, US • published 2026-09-22 16:42:36.715813

Description

Thank you for considering Progyny! Progyny is seeking a Claims Audit Extern to join our team. This role will primarily support claims audits, quality assurance reviews, and other related audit activities. In this role, you’ll gain hands\-on experience in healthcare claims auditing while working with provider clinics and cross\-functional teams to support coding accuracy, compliance, and continuous improvement. **What you'll do...** * Participate in claims audits and quality assurance reviews, including selecting and preparing patient claim samples, evaluating claims and provider documentation, validating CPT/HCPCS and ICD\-10\-CM coding, modifiers, billing accuracy, and adherence to applicable coding and documentation guidelines. * Document audit findings and prepare audit reports, including workpapers, Executive Summaries/Management Response Forms, and other required audit documentation. * Provide education to provider clinics and applicable stakeholders regarding audit findings, coding, billing, documentation requirements, and corrective actions. * Assist with special projects and work cross\-functionally with internal departments as needed to support audit initiatives, reporting...

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