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

Use this summary to align your resume positioning with the role.

Demonstrates expertise in analyzing claims data, preparing detailed reports, and effectively communicating audit results. Proficient in managing workflows, training staff, and maintaining relationships with clients and insurance representatives.

Highest-signal resume keywords

Claims Data AnalysisReport PreparationTime ManagementMicrosoft Office ProficiencyData Evaluation

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims Data AnalysisReport PreparationData EvaluationSpreadsheet ManagementDatabase Maintenance

Soft Skills

Effective CommunicationOrganizational SkillsComposure Under PressureMulti-tasking

Tools & Technologies

Microsoft OfficeAudit Tracking SoftwareRightFax

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, third-party activities, and claim denials
Log audit and claim denial requests, review findings and determinations, and evaluate logging and tracking processes
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 mail received via fax, scanning, and email, assigning it to appropriate work queues
Coordinate appeals sent via RightFax and maintain a database of appeals
Assist clinical audit and follow-up teams with write-offs and management work queues
Attend monthly insurance/payer vendor meetings to 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, and evaluating information and drawing logical conclusions
Preferred: Associate’s Degree

Benefits

Comp & perks

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