Contractual Compliance Coordinator
Company: VirtualVocations
Location: Vista
Posted on: May 10, 2025
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Job Description:
A company is looking for a Remote Contractual Compliance
Coordinator.
Key Responsibilities
Conduct routine monitoring and audits of procedures, including
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 healthcare or managed care, including
claims/reimbursement experience
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 healthcare compliance requirements at
federal, state, and local levels
Keywords: VirtualVocations, Encinitas , Contractual Compliance Coordinator, Other , Vista, California
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