Title: Coding Investigator Auditor - Oklahoma Location: Tulsa, OK, United States; Oklahoma, OK, United States This is a Flex (Hybrid) role Job Description: At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. Job Summary This position is responsible for performing clinical, billing, coding and lowest cost setting reviews for services pre and post payment utilizing medical, contractual, legislative, policy, and other information to validate claims submitted and billed. The individual in this role will also be conducting research; preparing documentation of findings and consulting with medical directors as needed. Additional duties include coordination with all departments involved in each case required such as special investigations, customer service, pass, network management, marketing, case management, medical review, legal, pricing and database. Required Job Qualifications: - Bachelor Degree; one year of business experience, law enforcement experience, or regulatory agency experience may substitute for each year of college. - Certified Coding Certification, or acquire within 24 months of hire - 3 years experience in claims processing operations and reporting systems, including 2 years experience in auditing or developing computer system reports. - Knowledge of accreditation, i.e. URAC, NCQA standards and health insurance legislation. - Awareness of claims processes and claims processing systems. - PC proficiency to include Microsoft Word and Excel and health insurance databases. - Verbal and written communication skills with ability to communicate to physicians, members and providers and compose and explain document findings. - Organizational skills and prioritization skills. Preferred Job Qualifications and Additional Details: - Prefer the individual to have an active Certified Professional Coder (CPC) certification, offered by the AAPC. - 3 years of clinical experience - Locations: This position is available at our Tulsa, OK or Oklahoma City, Ok offices - Schedule: This is a Flex (Hybrid) role: 3 days in office; 2 days remote. Monday - Friday position, standard business hours. - Sponsorship: Sponsorship is not available. #LI-Hybrid Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! Pay Transparency Statement: At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards. The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. HCSC Employment Statement: We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. Base Pay Range $55,900.00 - $123,500.00 Exact compensation may vary based on skills, experience, and location.

Title: Coding Investigator Auditor - Oklahoma Location: Oklahoma City United States Job Description: At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. Job Summary This position is responsible for performing clinical, billing, coding and lowest cost setting reviews for services pre and post payment utilizing medical, contractual, legislative, policy, and other information to validate claims submitted and billed. The individual in this role will also be conducting research; preparing documentation of findings and consulting with medical directors as needed. Additional duties include coordination with all departments involved in each case required such as special investigations, customer service, pass, network management, marketing, case management, medical review, legal, pricing and database. Required Job Qualifications: - Bachelor Degree; one year of business experience, law enforcement experience, or regulatory agency experience may substitute for each year of college. - Certified Coding Certification, or acquire within 24 months of hire - 3 years experience in claims processing operations and reporting systems, including 2 years experience in auditing or developing computer system reports. - Knowledge of accreditation, i.e. URAC, NCQA standards and health insurance legislation. - Awareness of claims processes and claims processing systems. - PC proficiency to include Microsoft Word and Excel and health insurance databases. - Verbal and written communication skills with ability to communicate to physicians, members and providers and compose and explain document findings. - Organizational skills and prioritization skills. Preferred Job Qualifications and Additional Details: - Prefer individual to have an active Certified Professional Coder (CPC) certification, offered by the AAPC. - 3 years clinical experience - Locations: This position is available at our Tulsa, OK or Oklahoma City, OK offices - Schedule: This is a Flex (Hybrid) role: 3 days in office; 2 days remote. Monday - Friday position, standard business hours. - Sponsorship: Sponsorship is not available. #LI-JR2 #LI-Hybrid Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! Pay Transparency Statement: At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. HCSC Employment Statement: We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. Base Pay Range $55,900.00 - $123,500.00 Exact compensation may vary based on skills, experience, and location.

• HCC Coding Quality Specialist Team Members will be responsible for reviewing the accuracy of HCC coded records. • Auditors will support their findings utilizing Medicare guidelines, ICD-10-CM guidelines as well as client specific requirements. • Ensure that the codes captured are supported by the documentation within the record and are properly coded. • Support your findings so the coder can easily identify and learn from the error. • Assist with the creation of PowerPoints presentations for training purposes. • Will be required to maintain a quality score of 95% or higher. • Will be required to maintain an ongoing productivity level based on project requirements.

Role Description The Associate IT Auditor reports to the IT Audit Manager and supports the audit team by performing design and operating effectiveness testing for Sarbanes Oxley IT General Controls (ITGC) with oversight from senior auditors and IT Audit management. This role is responsible for preparing thorough work-papers with supporting evidence, incorporating feedback for continuous improvement, and clearly communicating testing status and findings. The Associate IT Auditor conducts ITGC walkthroughs with control owners, participates in a variety of IT audits—including reviews of: - ITGC on acquisitions - Information security - Cybersecurity - System implementations Additional duties include: - Drafting and communicating control deficiencies with root cause analysis - Ensuring all documentation is accurately tracked in AuditBoard - Supporting special projects - Pursuing ongoing learning - Attending required trainings and team meetings Location and Travel - This role is approved to be fully remote and can be based anywhere in the United States. - This role can also be hybrid out of Ferguson's corporate offices in Newport News, VA, according to Ferguson policy. - Must be available to work East Coast hours. - Travel 10-35%, including Canada; for remote staff, travel to Newport News HQ at minimum annually in addition to audit location travel. Responsibilities - Integrates the IPPF components into audit engagements to ensure conformance with mandatory requirements and leading practices. - Develops and drives the audit program, communicates engagement objectives and scope to partners, documents process walkthroughs and flowcharts, develops analytical procedures and sample-based testing, and gathers evidence to support conclusions. - Assists with writing engagement findings into a draft report and presenting audit findings to management. - Leads portions of an audit engagement, facilitating discussions with management on risk mitigation efforts and the feasibility of process improvements. - Recognizes the role of the internal audit function in fraud risk management, prevention, and detection; assists in identifying fraud risk indicators and gathering relevant information for analysis. - Enhances risk coverage and efficiency by identifying overlapping assurance efforts. Skills and Expectations - Demonstrates a fundamental understanding of cybersecurity objectives, systems development lifecycle and project implementation guidelines, governance related to confidentiality, data integrity, and system availability. - Familiarity with compliance/audit frameworks (NIST, COBIT, etc). - Knowledge of technical platforms, networks, security concepts and data retrieval techniques. - Demonstrates a basic understanding of basic business functions such as revenue, expenses, cash, receivables, payables, inventory, and other processes specific to distribution organizations. - Assists in gathering IT policies, system documentation, and IT control assessments under supervision. - Demonstrates a fundamental understanding of ITGCs according to PCAOB standards. - Applies ethical principles in audit work, ensuring impartiality and adherence to professional responsibilities. - Executes audit work in conformance with the Standards and expectations established within the quality assurance and improvement program (QAIP). - Understands principles of effective communication in internal auditing, including clarity, conciseness, and objectivity. - Demonstrates conflict management skills as vital when resolving timing and engagement scope discussions with partners. - Understands basic data analysis concepts, including data integrity, completeness, and accuracy in an internal auditing context. - Demonstrates strong project management and time management skills to ensure engagement objectives are achieved and deadlines are met. - Proactively takes initiative and ownership in achieving assigned objectives. - Demonstrates well-developed problem solving, critical thinking, and analytical skills. - Team player, collaborative and exhibits flexibility to adapt to changing priorities. Qualifications - Bachelor’s degree in Information Systems, Computer Science, or related area; Advanced degree is a plus. - 6 months to 2+ years proven work experience and knowledge in IT Audit and/or related activities in IT. - Experience with the Microsoft Office Suite including PowerBI and Visio; knowledge of Workday, AuditBoard, Oracle, Sage X3 a plus. - Familiarity with compliance/audit frameworks (NIST, COBIT, etc). - Knowledge of technical platforms, networks, security concepts and data retrieval techniques. - Experience working in a remote environment a plus. - A professional certification is required within one year from hire date. Other certifications not listed below will be considered for applicability: - Certified Information Systems Auditor (CISA) - Certified Internal Auditor (CIA) - Certified Public Accountant (CPA) - Certified Fraud Examiner (CFE) Benefits - Health, dental, and vision insurance - Paid time off - Life insurance - 401(k) with a company match - Mental health coverage - Gender affirming and family building benefits - Paid parental leave - Associate discounts - Community involvement opportunities