Claim Review Specialist (CCS, COC, CPC)

Company: VirtualVocations
Location: Everett
Posted on: February 1, 2025

Job Description:

A company is looking for a Claim Review Specialist (CCS, COC, CPC required).

Key Responsibilities

Assist in preparing claim audits and reviewing coding changes on outpatient and Profee claims
Audit medical record entries and coding accuracy, providing recommendations for documentation improvement
Develop standardized reports and participate in client presentations and education

Required Qualifications

5+ years of claims auditing/review experience
CCS, COC, or CPC certification required
Experience with outpatient and Profee coding, including infusion/injection coding
Proficient with Microsoft Office and various EMR systems
Strong understanding of CMS guidelines and Medicare claims processing

Keywords: VirtualVocations, Edmonds , Claim Review Specialist (CCS, COC, CPC), Other , Everett, Washington

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