Claim Review Specialist (CCS, COC, CPC)
Company: VirtualVocations
Location: Detroit
Posted on: February 1, 2025
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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, Toledo , Claim Review Specialist (CCS, COC, CPC), Other , Detroit, Ohio
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