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Responsibilities:
- Support development and implementation of quality assurance and audit plans.
- Conduct claims reviews and audits, analyze data to identify issues and trends.
- Research federal payer coverage policies and develop program policies.
Requirements:
- Bachelor’s or master’s degree in health profession preferred.
- Minimum 5 years experience with health insurance claims data in a managed care setting.
- Expertise in CPT, HCPCS, ICD billing codes and claims data analysis.
Benefits:
- Paid leave and options for medical, dental, vision insurance.
- 401(k) retirement plan with employer match.
- Professional development opportunities including tuition reimbursement.
Advanced Technologies & Laboratories International, Inc.
Advanced Technologies & Laboratories International (ATL) provides expertise in quality assurance, claims processing, medical coding, and audit for the World Trade Center Health Program. The company offers a competitive total compensation package including paid leave, medical, dental, vision, and a 401(k) retirement plan.