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Healthcare Claims Compliance Coordinator

Company: VirtualVocations
Location: Largo
Posted on: May 3, 2025

Job Description:

A company is looking for a Remote Healthcare Claims Compliance Coordinator.
Key Responsibilities

Conduct routine monitoring and audits of procedures related to billing systems and client audits
Ensure compliance with client contract criteria and generate required Commercial claims reporting
Assist in preparing for annual Health Plan audits and monitor processes for fraud detection

Required Qualifications

3-5 years of experience in the healthcare or managed care industry, with claims/reimbursement experience
3 years of auditing experience in the healthcare industry
Knowledge of CPT and ICD coding, as well as Medicare requirements
Advanced proficiency in Microsoft Office products, especially Word, Excel, and Access
Thorough understanding of federal, state, and local healthcare compliance requirements

Keywords: VirtualVocations, North Port , Healthcare Claims Compliance Coordinator, Healthcare , Largo, Florida

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