Managed Care Claims Compliance Coordinator

Job Summary

A company is looking for a Remote Managed Care Claims Compliance Coordinator.

Key Responsibilities

• Conduct routine monitoring and audits of billing systems and client procedures
• Ensure compliance with client contract criteria and generate required claims reporting
• Participate in audits and assist with compliance and auditing responsibilities

Required Qualifications

• 3-5 years of experience in the healthcare or managed care industry
• 3 years of auditing experience in the healthcare industry
• Knowledge of CPT and ICD coding, Medicare requirements, and APC pricing
• Advanced proficiency in Microsoft Office products
• Bachelor's degree in healthcare informatics, business administration, or related field preferred