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Healthcare Services Specialist (RN / Coder)
VirtualVocationsRockford, Illinois, United Statesjob_description.job_card.variable_days_ago
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A company is looking for a Healthcare Services Concept Specialist (RN and / or Professional Coder) focused on MolDX.
Key Responsibilities :
Review and update existing audit concepts based on regulatory changes and client needs
Develop and coordinate training materials for existing and new audit concepts
Conduct research to document impacts on existing concepts and support Segment Specialists with new concepts
Required Qualifications :
At least 2-4 years of audit or Payment Integrity experience
CPC, COC, RHIA, or RHIT certification and / or RN
Demonstrated knowledge of Medicare and Commercial policy and claims processes
Relevant experience with ICD-10-CM / PCS, CPT-4, and HCPCS coding
Strong understanding of national coding standards and Medicare claims processing systems
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Healthcare Specialist • Rockford, Illinois, United States
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