Job Detail

Billing and Payment Auditor QTC Management, Inc. 924 Overland Ct, San Dimas, CA 91773 Full-time - Medical Billing & Coding

Date Posted: Jan 11, 2022

Job Description

Job details

Job Type
Indeed's salary guide
  • Not provided by employer
  • $33.5K to $42.5K per year is Indeed's estimated salary for auditor at QTC Management Inc. - A Leidos Co. in San Dimas, CA.

Full Job Description


Job Summary:

Performs coding and documentation review of records to ensure compliance with company billing policies and procedures, contractual requirements and governmental billing regulations.

Essential Duties and Responsibilities:

  • Analyze and validate medical records documentation to ensure coding data is compliant with coding guidelines, client-contracted pricing, provider-contracted fees, and per client contractual requirements

  • Perform audits ranging from moderate to complex

  • Utilize data analysis and extraction tools to evaluate billing transactions and identify potential billing errors

  • Identify and research audit findings, presenting concerns and solutions to appropriate leadership

  • Ensure all information related to findings are appropriately documented according to company policies and procedures

  • Compile and present audit findings to Operations, Billing, external auditors and others

  • Identify billing audit findings to the Billing Department and requests corrective actions, such as adjustments to client billing or provider payment

  • Complete most routine audit functions with minimal supervision

  • Perform other duties and responsibilities as assigned


  • Working knowledge of Microsoft Office Suite, with advanced knowledge in Excel

  • Ability to perform detailed mathematical calculations, understanding mathematical concepts

  • Ability to manage multiple tasks simultaneously, work independently with minimal supervision and meet stringent deadlines

  • Attention to detail/excellent follow-up skills

  • Proactive, self-motivated, and quality-results oriented

  • Strong organizational, problem-solving, and communication skills

  • Knowledge of medical billing practices

  • Knowledge of ICD-9 (International Classification of Disease, Ninth Edition), CPT and HCPC (Healthcare Common Procedure Coding System) coding, medical terminology and CMS (Centers for Medicare & Medicaid Services) guidelines, including NCCI (National Correct Coding Initiative) edits

  • Excellent interpersonal skills with the ability to work with individuals at all levels of the organization

Education and/or Experience: (includes certificate & licenses)

  • Experience working with IDEA Data Analysis Software
  • Must be able to successfully pass National Agency Check with Inquiries (NACI) background investigationd
  • High School diploma, or equivalent (GED)

  • 0 to 1 year of Medicare billing, medical claims processing, and audit experience

  • Medical terminology in a medical billing environment is required

  • Medical Billing Certification preferred

  • Experience working with IDEA Data Analysis Software preferred

This job description supersedes all prior job descriptions and is intended to describe the general content and essential requirements for the position listed above. It is not to be construed as an exhaustive statement of requirements, duties and responsibilities. Management reserves the right to add or change the duties of this position as required at any time.

QTC Management Inc. is a VEVRAA Federal contractor and an Equal Opportunity Employer. The company has an ongoing commitment to affirmative action and the creation of a workplace free of discrimination, harassment and retaliation. The company recruits, hires, trains, and promotes individuals in all job titles without regard to race, color, creed, religion, ancestry, national origin, age, sex, pregnancy, sexual orientation, gender identity, genetic information, people with disabilities protected under law, and protected veteran status.



  • Less than 1 year(s): Medicare billing, medical claims processing, and audit experience


  • High School Diploma or better
  • GED or better


  • Excel
  • Written Communication
  • Verbal Communication
  • Problem Solving
  • Organization
  • Interpersonal


  • Team Player: Works well as a member of a group
  • Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well
  • Dedicated: Devoted to a task or purpose with loyalty or integrity


  • Self-Starter: Inspired to perform without outside help
  • Work-Life Balance: Inspired to perform well by having ample time to pursue work and interests outside of work
  • Goal Completion: Inspired to perform well by the completion of tasks
  • Growth Opportunities: Inspired to perform well by the chance to take on more responsibility

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)



924 Overland Ct, San Dimas, CA 91773

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