Behavioral Health Coding Auditor
VirtualVocationsModesto, California, United Statesjob_description.job_card.variable_hours_ago
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- serp_jobs.job_card.full_time
job_description.job_card.job_description
A company is looking for a Coding and Compliance Auditor-Behavioral Health.
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 established 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+ years of experience in Behavioral Health claims processing or health insurance
At least 3 years of work related to medical billing and coding
CPC or CCS certification preferred
Successful completion of pre-employment background check
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Coding Auditor • Modesto, California, United States
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