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Contractual Compliance Coordinator

Company: VirtualVocations
Location: Boca Raton
Posted on: September 16, 2023

Job Description:

A company is looking for a Contractual Compliance Coordinator.
Key Responsibilities:

Conduct routine monitoring and audits of procedures, including billing systems audits and client audits
Ensure compliance with client contract criteria and Medicare Advantage requirements
Assist with claims reporting, appeals, and UM challenges

Required Qualifications:

3-5 years of experience in healthcare or managed care industry
1-3 years of Medicare Advantage HMO experience
3 years of auditing experience in healthcare industry
CPT and ICD coding knowledge
Proficiency in Microsoft Office products

Keywords: VirtualVocations, Boca Raton , Contractual Compliance Coordinator, Other , Boca Raton, Florida

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