{"id":1103397,"url":"https://alion.io/job/progyny-claims-audit-extern","title":"Claims Audit Extern","company":{"id":174570,"name":"Progyny","domain":"progyny.com","url":"https://alion.io/company/progyny","size_band":null,"is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Workday","truth_index":null},"role":"Industrial Engineering","role_family":"Industrial Engineering","seniority":null,"employment_type":"full_time","work_mode":"hybrid","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"explicit","locations":["New York, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":{"min":25,"max":30,"currency":"USD","period":"hour","gross":null,"usd_annual":60000},"salary_estimate":null,"experience_years_min":null,"visa_sponsorship":true,"relocation_package":false,"has_equity":false,"technologies":[{"name":"Microsoft Office","optional":false}],"status":"closed","first_seen_at":"2026-09-21T00:00:00Z","employer_posted_date":"2026-09-21","last_verified_at":"2026-09-29T17:52:53Z","board_verified":false,"closed_at":"2026-09-29T17:52:53Z","days_open":8,"trust":{"level":"not_scored","repost_count":null,"flags":[],"days_open":8},"description":"Thank you for considering Progyny!\nProgyny is seeking a Claims Audit Extern to join our team. This role will primarily support claims audits, quality assurance reviews, and other related audit activities.\nIn this role, you’ll gain hands-on experience in healthcare claims auditing while working with provider clinics and cross-functional teams to support coding accuracy, compliance, and continuous improvement.\nWhat you'll do...\nParticipate in claims audits and quality assurance reviews, including selecting and preparing patient claim samples, evaluating claims and provider documentation, validating CPT/HCPCS and ICD-10-CM coding, modifiers, billing accuracy, and adherence to applicable coding and documentation guidelines.\nDocument audit findings and prepare audit reports, including workpapers, Executive Summaries/Management Response Forms, and other required audit documentation.\nProvide education to provider clinics and applicable stakeholders regarding audit findings, coding, billing, documentation requirements, and corrective actions.\nAssist with special projects and work cross-functionally with internal departments as needed to support audit initiatives, reporting, data analysis, operational goals, and other assigned responsibilities.\nAbout you...\nCPC-A, CPC, CCA, CCS, or CCS-P certification required.\nStrong Microsoft Office skills, particularly Excel, with the ability to work efficiently with large datasets, pivot tables, and structured audit information.\nWorking knowledge of CPT, HCPCS, ICD-10-CM, modifiers, coding guidelines, or healthcare claims concepts; familiarity with reimbursement or payer policy research is a plus.\nExcellent written and verbal communication skills with strong attention to detail and the ability to clearly document findings.\nComfortable working independently in a fast-paced environment while managing multiple priorities and deadlines.\nDemonstrated ability to be adaptive, inquisitive, analytical, and solution-oriented.\nAbility to collaborate effectively with cross-functional stakeholders and communicate professionally with provider clinics and internal leaders.\nInterest in healthcare audit, coding, payment integrity, reimbursement, provider billing, process improvement, or healthcare operations.\nThis remote position may require occasional travel for in-person audits, team meetings, or other business needs.\nPlease note: This is not a digital nomad or remote international position; candidates must be based in the United States. Progyny is unable to provide visa sponsorship for this position. Candidates must be authorized to work in United States without the need for sponsorship, now or in the future.\nAbout Progyny:\nProgyny (Nasdaq: PGNY) is a global leader in women’s health and family building solutions, trusted by the nation’s leading employers, health plans and benefit purchasers. We envision a world where everyone can realize dreams of family and ideal health. Our outcomes prove that comprehensive, inclusive and intentionally designed solutions simultaneously benefit employers, patients and physicians.\nOur benefits solution empowers patients with concierge support, coaching, education, and digital tools; provides access to a premier network of fertility and women's health specialists who use the latest science and technologies; drives optimal clinical outcomes; and reduces healthcare costs.\nOur mission is to empower healthier, supported journeys through transformative fertility, family building and women’s health benefits.\nHeadquartered in New York City, Progyny has been recognized for its leadership and growth as a TIME100 Most Influential Company, CNBC Disruptor 50, Modern Healthcare's Best Places to Work in Healthcare, Forbes' Best Employers, Financial Times Fastest Growing Companies, Inc. 5000, Inc. Power Partners, and Crain's Fast 50 for NYC. For more information, visit www.progyny.com.\nOur perks:\nFamily friendly benefits: Paid family and parental leave, preconception, fertility and family building benefits (including egg freezing, IVF, and adoption support), family and pet care fund, and Parents’ Employee Affiliation Group \nMenopause and midlife care \nHealth, dental, vision and life insurance options for employees and family \nFree in-person, virtual and text-based mental health and wellness support \nPaid time off, including vacation, sick leave, personal days and summer flex time \nCompany equity \nBonus program \n401(k) plan with company match \nAccess to on-demand legal and financial advice \nLearning and development programs to help you grow professionally \nCompany social events to include annual volunteer day and donation matching \nFlex days (3 days a week in the office) and onsite meals and snacks for employees reporting into our NY office \nIn compliance with New York City's Wage Transparency Law, the hourly salary [wage] range for NYC-based applicants is:$25.00/hour - $30.00/hour. There are a variety of factors that go into determining a salary range, including but not limited to external market benchmark data, geographic location, and years of experience sought/required. Progyny offers a total compensation package comprised of base salary, cash bonus, and equity.\nProgyny is proud to be an Equal Opportunity and Affirmative Action employer. We respect and seek to empower each individual and support the diverse cultures, perspectives, skills and experiences within our workforce. All qualified applicants will receive consideration for employment without regard to race, creed, color, religion, sex, sexual orientation, gender identity or expression, national origin, disability, age, genetic information, marital status, pregnancy or related condition, status as a protected veteran, criminal history consistent with legal requirements or any other basis protected by law.\nIf you are an individual with a disability and need assistance or an accommodation during the recruiting process, please send an e-mail to .","description_format":"text","description_chars":5963,"description_truncated":false,"requirements":{"experience_years_min":null,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":null,"security_clearance":false,"languages":[]},"benefits":["Equity","Life insurance","Parental leave"],"hiring_locations":[{"name":"United States","iso":"US","kind":"country"}],"hiring_excludes":[],"relocation_offered":false,"industries":["Fertility & IVF","Health Insurance & Benefits"],"lifecycle":[{"event":"open","at":"2026-09-22T02:45:41Z"},{"event":"close","at":"2026-09-29T17:52:53Z"}],"visa":[{"country":"US","licensed_sponsor":true,"evidence":"H-1B filings in 12 months: 13","filings_12m":13,"filings_prev_12m":17,"green_card_filings_12m":0,"median_offered_wage_usd":162500,"route":null,"cap_exempt":false,"checked_at":"2026-10-15T11:24:14+00:00","sources":["US Department of Labor: LCA disclosure data (H-1B, H-1B1, E-3)","US Department of Labor: PERM disclosure data (green cards)"],"filings_for_role_12m":0}],"liveness":null,"pay":{"stated_usd_annual":60000,"is_top_pay":false},"html_url":"https://alion.io/job/progyny-claims-audit-extern","json_url":"https://alion.io/job/progyny-claims-audit-extern.json","meta":{"generated_at":"2026-10-19T10:01:27Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":7114,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-10-20T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":174570},"rest":"https://alion.io/mcp/rest/get_company?id=174570"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fprogyny-claims-audit-extern"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Fprogyny-claims-audit-extern"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Fprogyny-claims-audit-extern"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/progyny-claims-audit-extern\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fprogyny-claims-audit-extern"}]}