Audit Clinical Data Coordinator

Lehigh Valley Health Network

. Analyze requested claims data to identify pre- and post-pay audit trends and claim denial trends by facility location, payers, and service lines .

Posted 9/15/2026full-timeRemote • Pennsylvania • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in analyzing claims data, preparing detailed reports, and effectively communicating audit results. Proficient in managing workflows, maintaining databases, and providing training on audit tracking software.

Highest-signal resume keywords

Claims Data AnalysisReport PreparationAudit Tracking Database ManagementTime Management SkillsMicrosoft Office Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims Data AnalysisReport PreparationAudit Tracking Database ManagementData CompilationSpreadsheet Management

Soft Skills

Effective CommunicationOrganizational SkillsProblem-SolvingComposure Under PressureTraining and Development

Tools & Technologies

Microsoft OfficeRightFaxDatabase Management Software

Certifications & Qualifications

High School Diploma/GEDAssociate’s Degree Preferred

Industry Keywords

Healthcare AdministrationRAC AuditsClaim DenialsInsurance ActivitiesThird-Party Requests

About the role

Key responsibilities & impact

Analyze requested claims data to identify pre- and post-pay audit trends and claim denial trends by facility location, payers, and service lines
Prepare reports reflecting RAC audits, insurance and third-party activities, and claim denials
Log audit and claim denial requests, review findings and determinations in the audit tracking database, and evaluate logging and tracking processes
Log all claim denials
Identify workflow roadblocks and make recommendations to management and the software vendor
Develop and maintain relationships with clients, staff, management, and insurance/vendor representatives
Communicate audit activity results through written reports and oral presentations to management
Complete audit follow-up and closure
Create educational materials for audit tracking software and provide ongoing staff training
Review and file incoming mail via fax, scanning, and email, assigning it to appropriate work queues
Coordinate appeals sent via RightFax and maintain an appeals database
Assist clinical audit and follow-up teams with write-offs and management work queues
Attend monthly insurance/payer vendor meetings and stay current on policy and billing updates

Requirements

What you’ll need

High School Diploma/GED
3 years in a hospital or healthcare administrative secretarial or office management environment
Ability to handle multiple tasks, deadlines, and requests utilizing appropriate time-management skills
Ability to organize and conduct effective reporting and communication to assist management in the analysis of RAC and other third-party request activities
Computer skills and working knowledge of Microsoft Office and other computer-based applications to create and maintain spreadsheets, databases, and perform word processing functions
Extensive skill in planning and maintaining composure under pressure while meeting multiple deadlines
Skill in compiling, summarizing, and analyzing complex data, evaluating information, and drawing logical conclusions
Associate’s Degree preferred

Benefits

Comp & perks

Equal opportunity employment
Day shift schedule
Monday-Friday, 8:00a-4:30p
Remote work within Pennsylvania