Medicare Claims Auditor I - Quality & Compliance
Solis-Health-Plans
Solis-Health-Plans in Doral, FL is seeking a Claims Auditor I to perform pre- and post-payment audits of Medicare-related claims within a managed care environment. The role emphasizes payment accuracy, CMS guidelines, and compliance. You will review CPT/HCPCS/ICD coding, pricing and reimbursement methods, and collaborate with claim examiners to identify discrepancies and improve processes. Minimum qualifications include a high school diploma and several years of claims processing experience; #J-18808-Ljbffr Solis-Health-Plans
Vacancy posted 2 days ago
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