Healthcare Claims Compliance Coordinator

Job Summary

A company is looking for a Remote Healthcare Claims Compliance Coordinator.

Key Responsibilities

• Conduct routine monitoring and audits of billing and claims processing procedures
• Ensure compliance with client contract criteria and generate required claims reporting
• Assist in auditing and submitting appeals and participate in annual Health Plan audits

Required Qualifications

• 3-5 years of experience in healthcare or managed care, including claims and reimbursement experience
• 3 years of auditing experience in the healthcare industry
• Knowledge of CPT, ICD coding, Medicare requirements, and APC Pricing
• Proficiency in Microsoft Office, especially Word, Excel, and Access
• Bachelor's degree in healthcare informatics, business administration, or related field is preferred