Quality Control Auditor Job in Boca Raton, Florida

Our fast-growing healthcare company is looking for an experienced Quality Control Auditor who is responsible for reviewing staff productivity for quality results.  The positions include biller, payment poster and insurance and patient collector.  This position requires attention to detail and knowledge of medical billing, EOB’s/ERA’s, copay/coins/deductible, denial codes, insurance allowable, adjustments, write offs, and takebacks as well as insurance collections. We are looking for a Certified Professional Coder who is detail-oriented, dedicated and positive individual who will fit into our ‘Get it done!’ culture. If you enjoy working with other professionals who believe in delivering quality solutions to difficult problems, we encourage you to apply.

Duties: 

• ?Accurately performs quality assurance audits for individuals in all RCM positions such as billers, payment posters and patient and insurance collectors according to RCM processes and CMS and CPT code guidelines.
• Ensure all RCM documented protocols and CMS and CPT code guidelines are followed in all positions.
• Document detailed results with explanation on why an error is documented.
• Communicates results to Management on a timely basis.
• Makes recommendations to Management regarding additional training.
• Identify areas of opportunity to process claims, payments and collections efficiently.  
• Use all billing systems data to identify errors
• Work with all members of the Revenue Cycle Department in a coordinated team effort to ensure an overall and individual quality rating 97% and above.
• Performs other tasks within job scope as requested by Management.

Qualifications: 

• Ability to multi-task
• Ability to accept change
• Ability to collaborate effectively and work as part of a team
• Detail oriented with excellent time management and organizational skills with a positive “Can do” attitude
• Excellent Customer Service Skills

Job Type:

·         Full-time

Experience:

• 2+ years