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Online Resumes with "pricing "
Auditor
Audit Medical Claims, including errors from claims pricing, adjudication, adjustments, and bill issues. Conduct periodic post audit of claims to alleviate any incorrect decisions. Maintain a record of audit results Submit errors back to the proper source. Review, research, and resolve complex claims processing issues. Conduct audits of high dollar claims, staff, auditors, regulatory compliance audits, PDR audits and sp...
Tags for this Online Resume: IDX/MACESS, CODE AUDIT/TOUCH WORK, IBM AS/400, OAOHS,MC400, EZ/CAP, EPIC, EDI, Office Ally
