Remote Compliance Coordinator

A company is looking for a Remote Contractual Compliance Coordinator. Key Responsibilities Conduct routine monitoring and audits of billing systems and client procedures Ensure compliance with client contract criteria and generate required claims reporting Assist in preparing for annual Health Plan audits and monitor processes for fraud detection Required Qualifications 3-5 years of experience in the healthcare or managed care industry 3 years of auditing experience in the healthcare industry Knowledge of CPT and ICD coding, Medicare requirements, and APC Pricing Advanced proficiency in Microsoft Office products Thorough understanding of healthcare compliance requirements

Mar 28, 2025 - 12:46

A company is looking for a Remote Contractual Compliance Coordinator. Key Responsibilities Conduct routine monitoring and audits of billing systems and client procedures Ensure compliance with client contract criteria and generate required claims reporting Assist in preparing for annual Health Plan audits and monitor processes for fraud detection Required Qualifications 3-5 years of experience in the healthcare or managed care industry 3 years of auditing experience in the healthcare industry Knowledge of CPT and ICD coding, Medicare requirements, and APC Pricing Advanced proficiency in Microsoft Office products Thorough understanding of healthcare compliance requirements