Licensed Medical Claims Auditor
Company: VirtualVocations
Location: Salem
Posted on: March 6, 2025
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Job Description:
A company is looking for a Medical Claims Auditor.
Key Responsibilities
Review professional and facility claims for accuracy and compliance
with coding rules and guidelines
Analyze medical records and itemized bills to validate billing and
coding procedures
Audit codes and services according to ICD-10, CPT, HCPCS, and CMS
Guidelines
Required Qualifications
High School Diploma or equivalent
Minimum 2 years of Claims Coding or Medical Billing experience
Coding Certification (CPC, CCA, CCS, RHIA, etc.) and/or Nursing
Licensure (RN, LPN, etc.)
Proficiency in ICD-10 and familiarity with CMS/Medicare
Experience with Medicare reimbursement/denial preferred
Keywords: VirtualVocations, Salem , Licensed Medical Claims Auditor, Healthcare , Salem, Oregon
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