Claims Auditor at Cohere Health

Setup: Remote
Location: Hyderabad, Telangana
Posted: Jun 26, 2026

Description

Cohere Health is looking for a Claims Auditor to join their Payment Integrity team. The role involves conducting comprehensive professional and facility coding reviews for outpatient/professional and inpatient claims to ensure accuracy in code assignment, DRG/reimbursement, and to maximize overpayment identification. The ideal candidate will have a CPC and/or CCS credential, expert knowledge of CPT, HCPCS, and ICD-10-CM/PCS coding guidelines, and a passion for deep analytical auditing.

Required Skills

Coding Reviews
Code Assignment
Reimbursement
Overpayment Identification
Outpatient Claims Coding and Auditing
ICD-10-CM/PCS Coding Guidelines
HCPCS, CPT, ICD-10-CM/PCS Coding
US Healthcare Payment Methodologies
Analytical Skills
Time Management
Problem-Solving
Communication Skills
Attention to Detail

Additional Information

Required Previous Experiences: 3-5 years of experience overall
expert-level coding knowledge with an in-depth understanding of ICD-10-CM/PCS coding guidelines/Deep understanding of outpatient claims coding and auditing
Exceptional time management, problem-solving, and analytical skills.
Passion for auditing and a commitment to teamwork, collaboration, and continuous learning.
Superior knowledge of HCPCS, CPT, ICD-10-CM/PCS coding, and US healthcare payment methodologies for Commercial, Marketplace, Medicare, and Medicaid.
Preferred Qualifications: Experience using CMS NCDs/LCDs and clinical criteria guidelines.
RHIA or RHIT credential.
Experience working in a start-up or high-growth company environment, demonstrating agility and adaptability.
Familiarity with working with a diverse, global team of talent.
Excellent computer skills and familiarity with a Mac.

About Cohere Health

Cohere Health

Healthcare Utilization Management SoftwarePortsmouth, NH, US

Cohere Health provides clinical intelligence software for health plans, spanning utilization management, payment integrity, appeals, care management, quality, and claims operations.