Essential Duties and Responsibilities:
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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
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Perform audits ranging from moderate to complex
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Utilize data analysis and extraction tools to evaluate billing transactions and identify potential billing errors
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Identify and research audit findings, presenting concerns and solutions to appropriate leadership
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Ensure all information related to findings are appropriately documented according to company policies and procedures
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Compile and present audit findings to Operations, Billing, external auditors and others
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Identify billing audit findings to the Billing Department and requests corrective actions, such as adjustments to client billing or provider payment
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Complete most routine audit functions with minimal supervision
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Perform other duties and responsibilities as assigned.
Job Type: Full-time
Benefits:
Schedule:
Supplemental Pay:
Work Location: One location