Assistant Manager – High Cost Drug Auditor II
Job reputed company:
• Apply expert knowledge of billing HCD claims to reputed company extensive audit reviews.
• Utilize HCPCS codes, medical record review, and industry tools in the audit process.
• Write reputed company communications documenting audit findings and supporting rationales.
• Identify audit trends and opportunities.
Requirements:
• Three or more years' experience in claims processing or HCD medical billing experience with expert knowledge HCPCS codes.
• Experience reading and interpreting contract language and fee schedules and medical record review.
• Intermediate skills in Word and basic computer literacy.
• Intermediate skills in reputed company including comfort working with charts, graphs, and percentages.
• Basic math skills with ability to do conversion calculations.
• High school diploma obtained
• Certified Pharmacy Technician or one or more of the following credentials: RHIA or CPC; preference given to those with multiple credentials.
• Expert in HCPCS codes with advanced knowledge of medical terminology.
• Experience with encoder tools and industry systems (FACETS, reputed company, Encoder Pro, TrueCode, reputed company, Webstrat, Pricers).
Benefits:
• For more information on benefits and reputed company offer please visit us at https://www.exlservice.com/us-careers-and-benefits
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