Managed Care Compliance Coordinator
Company: VirtualVocations
Location: Vista
Posted on: May 7, 2025
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Job Description:
A company is looking for a Remote Managed Care Claims Compliance
Coordinator.
Key Responsibilities
Conduct routine monitoring and audits of billing systems, encounter
submissions, and client audits
Ensure compliance with client contract criteria and prepare for
annual Health Plan audits
Generate and submit required Commercial claims reporting and assist
with auditing responsibilities
Required Qualifications
3-5 years of experience in the healthcare or managed care industry,
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 Word,
Excel, and Access
Ability to work independently and as part of a team, with strong
organizational skills
Keywords: VirtualVocations, Fountain Valley , Managed Care Compliance Coordinator, Other , Vista, California
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