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CPC Certified Coding Auditor
Key Responsibilities: Perform operational and financial audits of provider claims to identify overpayments and resolve root cause issues Adjust claim payments and adjudicate claims according to recovery guidelines Identify potential recovery projects...and report findings to management Required Qualifications: Bachelor's Degree or equivalent combination of education, training, and related experience 5 or more years of work experience in the healthcare industry, including at least 3 years in medical