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