Behavioral specialist [h1.location_city]
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Behavioral specialist • reno nv
- [promoted]
Behavioral Health Coding Auditor
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Universal Health Services, Inc.Reno, NV, United StatesRegistered Nurse -Behavioral Health
Foundations for LivingRENO, Nevada, United StatesBehavioral Health Coding Auditor
VirtualVocationsReno, Nevada, United States- [job_card.full_time]
A company is looking for a Coding and Compliance Auditor-Behavioral Health.
Key Responsibilities :
Conducts operational and financial audits of provider claims to identify overpayments and resolve root cause issues
Adjusts claim payments and adjudicates claims according to established recovery guidelines
Identifies potential recovery projects and reports findings to management
Required Qualifications :
Bachelor's Degree or equivalent combination of education, training, and related experience
5+ years of experience in Behavioral Health claims processing or health insurance, including 3 years in medical billing and coding
CPC or CCS certification preferred
Claim audit experience, preferably in Behavioral Health
Intermediate to expert knowledge of medical terminology, CPT, ICD9, and HCPCS coding