Medical Claims Auditor – Detroit, Michigan

Job Description

About the Company

Skill Gigs is a global IT and healthcare consulting firm that connects skilled professionals with leading organizations worldwide. This opportunity is with one of our U.S.-based healthcare partners, specializing in medical billing, claims management, and revenue cycle operations.

Job Title: Medical Claims Auditor

Location: Detroit, Michigan, USA

Job Overview

We are seeking a detail-oriented and analytical Medical Claims Auditor to join our partner organization in Detroit, Michigan. In this role, you will review, evaluate, and audit medical claims to ensure accuracy, compliance, and proper reimbursement. This position is ideal for individuals interested in healthcare administration, claims processing, and revenue cycle management.

Key Responsibilities

Review and audit medical claims for accuracy, compliance, and coding correctness
Identify errors, discrepancies, or fraudulent activities in submitted claims
Ensure adherence to payer, state, and federal regulations
Collaborate with billing, coding, and healthcare teams to resolve discrepancies
Prepare detailed reports on audit findings and recommendations
Maintain accurate documentation of claims audits and communications
Support process improvement initiatives for claims management
Stay updated on coding standards, healthcare regulations, and industry best practices

Required Qualifications

Bachelor’s degree in Healthcare Administration, Business, or related field
1–3 years of experience in medical claims auditing, coding, or billing
Knowledge of medical coding systems (ICD-10, CPT, HCPCS)
Familiarity with healthcare regulations, payer guidelines, and compliance standards
Strong analytical, problem-solving, and attention-to-detail skills
Excellent written and verbal communication abilities
Ability to work independently and collaboratively in a team environment

Preferred Qualifications

Experience with electronic medical records (EMR) or claims management software
Certified Professional Coder (CPC) or equivalent certification
Knowledge of revenue cycle management processes
Understanding of healthcare auditing frameworks and quality assurance practices
Ability to manage high volumes of claims efficiently and accurately

Why Join Us?

Opportunity to work with a leading U.S.-based healthcare provider
Hands-on experience in medical claims auditing and revenue cycle management
Supportive and collaborative work environment
Competitive compensation and benefits package
Career growth opportunities in healthcare administration and compliance

How to Apply

We recommend submitting an ATS-friendly resume highlighting your medical claims auditing experience, coding knowledge, and familiarity with healthcare regulations. Including hands-on experience with claims or revenue cycle processes will strengthen your application.