|Specialties:||Anesthesiology (will provide specialty training as needede)
•Coordinates with Compliance Manager and Chief Compliance
Officer on any billing compliance investigations.
•Reviews and audits documentation in the medical records and
charges submitted including CPT and ICD-10 information to ensure compliance.
•Reviews charge information, claim forms, and insurance
correspondence to determine if coding, billing, claim follow-up, payment
receipts, posting activities, and credit processing are being performed in an
accurate and timely manner and is supported by documentation.
•Analyzes billing trends to identify areas of non-compliance
and prepares regular reports on audit findings to Compliance Manager.
•Collaborates with the Compliance Team to develop annual
audit work plans.
•Educates providers when deficiencies in documentation and
code selection are identified.
•Develops corrective action plans and participates in
compliance investigations as needed.
•Performs other duties as assigned.
•CPC certification required.
•4 years of healthcare billing and coding experience
•1 to 3 years of applicable compliance experience preferably
Knowledge, Skills, and Abilities:
•Must be a self-starter
•Experience with anesthesia documentation and coding
•Knowledge of auditing procedures and techniques
•Must work independently and with direction
•Advanced knowledge of Microsoft Suite
•Ability to compose memos/letters and other correspondence
•Ability to prepare and write reports, summaries of
•Ability to prioritize workload and meet strict deadlines
•Strong organizational skills
•Ability to work in a fast-paced and fluid environment
•Strong problem-solving skills and attention to detail
•Strong personal motivation with ability to work with little
supervision and attention to detail while working in a deadline driven
•Ability to communicate clearly and concisely across
multiple levels within the company
•Works directly with or develops confidential information,
which requires regular use of discretion.
•Decisions require moderate analysis of data or information
requiring development or application of several alternative methods. May
involve the development of timetables or interpretation of data with moderate
impact on an employee group or department.
APPLY DIRECTLY AT: https://careers3-northstaranesthesia.icims.com/jobs/1223/medical-billing-compliance-auditor/job