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Medical Claims Investigator

Company: VirtualVocations
Location: Greensboro
Posted on: September 14, 2023

Job Description:

A company is looking for a Medical Claims Investigator.
Key Responsibilities:

Achieve measured production, quality, and growth results
Utilize analytics and data mining techniques to analyze and audit medical claims
Evaluate medical claims for coding and pricing errors using accurate codes

Required Qualifications:

Minimum high school diploma or GED
Two years of experience in medical claims investigation or data mining/coordination of benefits auditing
Knowledge of coding type edits and medical claim reimbursement structures
Proficiency with medical terminology and procedures
Experience in applying principles of coding guidelines and regulations

Keywords: VirtualVocations, Greensboro , Medical Claims Investigator, Healthcare , Greensboro, North Carolina

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