Managed Care Claims Compliance Coordinator
Company: VirtualVocations
Location: Vista
Posted on: May 24, 2025
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Job Description:
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
Keywords: VirtualVocations, Aliso Viejo , Managed Care Claims Compliance Coordinator, Other , Vista, California
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