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CPC Certified Appeals Analyst

Company: VirtualVocations
Location: Vista
Posted on: May 13, 2025

Job Description:

A company is looking for an Appeals Analyst to work remotely for a health insurance organization.
Key Responsibilities

Analyze, research, resolve, and respond to appeals, coding disputes, grievances, and coverage determinations
Prepare files and develop position statements for external reviews by independent organizations
Document investigations and findings while ensuring compliance with regulatory standards

Required Qualifications

Bachelor's degree or advanced degree where required
3 years of related experience, or 5 years in lieu of a degree
CPC certification is required
Must be located in approved states including NC, AL, AZ, and others

Keywords: VirtualVocations, Aliso Viejo , CPC Certified Appeals Analyst, Professions , Vista, California

Click here to apply!

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