Healthcare Compliance Coordinator

Job Summary

A company is looking for a Remote Contractual Compliance Coordinator.

Key Responsibilities

• Conduct routine monitoring and audits of billing systems and client compliance
• Generate and submit required commercial claims reporting and assist in annual Health Plan audits
• Monitor processes to detect fraud and assist in compliance auditing responsibilities

Required Qualifications

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