Job Description
Position Type
Full-Time/Regular
It’s an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances.
**Job Summary:**
The Coding and Compliance Auditor- Behavioral Health performs complex review and adjustments of medical claims to ensure accuracy in claim payments. This is accomplished through data analysis to ensure alignment with payment policies, medical policies, correct coding, and state and federal regulatory requirements.
Our Investment in You:
· Full-time remote work
· Competitive salaries
· Excellent benefits
**Key Functions/Responsibilities:**
· Performs operational and financial audits of provider claims to identify overpayments and inform resolution of root cause issues with system configuration, provider contracts, claims op...
Full-Time/Regular
It’s an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances.
**Job Summary:**
The Coding and Compliance Auditor- Behavioral Health performs complex review and adjustments of medical claims to ensure accuracy in claim payments. This is accomplished through data analysis to ensure alignment with payment policies, medical policies, correct coding, and state and federal regulatory requirements.
Our Investment in You:
· Full-time remote work
· Competitive salaries
· Excellent benefits
**Key Functions/Responsibilities:**
· Performs operational and financial audits of provider claims to identify overpayments and inform resolution of root cause issues with system configuration, provider contracts, claims op...
Ready to Apply?
Submit your application today and join our talented team at WellSense.
Submit ApplicationJob Details
- Location United States, REMOTE
- Job Type Full-time
- Category other-general
- Posted Date February 27, 2026
- Application Deadline March 05, 2026