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Certified Payor Audit Coordinator

Company: VirtualVocations
Location: Hartford
Posted on: March 27, 2025

Job Description:

A company is looking for a Coordinator- Payor Audit to manage audit-related denials and ensure compliance with coding guidelines.
Key Responsibilities

Review and assess audit-related denials for outpatient, procedural, and inpatient cases
Analyze diagnostic and procedural information from medical records for reimbursement and billing purposes
Ensure compliance with coding guidelines, third-party reimbursement policies, and accreditation standards

Required Qualifications

Minimum three to five years of clinical experience preferred
Thorough knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems
Minimum of two years of inpatient and outpatient coding experience preferred, but not required
RHIT, RHIA, or related coding certification required

Keywords: VirtualVocations, Hartford , Certified Payor Audit Coordinator, Accounting, Auditing , Hartford, Connecticut

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