Department: Revenue Cycle Management (RCM)
Location: Gilbert, AZ; Hybrid
Position Summary
The Billing Auditor performs comprehensive audits of revenue cycle billing activities to ensure the accuracy, completeness, and compliance of claims submitted for reimbursement.
This role serves as a quality assurance resource within the Revenue Cycle Management department by identifying billing errors, documentation deficiencies, coding inconsistencies, workflow opportunities, and compliance risks.
Key Responsibilities
* Performs routine and targeted audits of billing activities.
* Reviews claims for accuracy, documentation, coding, modifiers, and payer compliance.
* Identifies billing errors, denial trends, workflow deficiencies, and compliance risks.
* Conducts retrospective and prospective audits.
* Provides audit reports and performance metrics.
* Monitors Medicare, Medicaid, and commercial payer compliance.
* Reviews adjustments and write-offs.
* Assists with quality standards and SOP development.
* Participates in process improvement.
* Performs other duties as assigned.
Qualifications
* Proficient in Microsoft Office and billing software.
* 3+ years healthcare revenue cycle experience.
* Billing audit or QA experience preferred.
* Knowledge of Medicare, Medicaid, and commercial billing.
* Strong analytical and communication skills.
* Knowledge of CPT, HCPCS, ICD-10-CM preferred.
* Attention to detail.
* Data analysis and trend identification.
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Location: Gilbert, AZ; Hybrid
Position Summary
The Billing Auditor performs comprehensive audits of revenue cycle billing activities to ensure the accuracy, completeness, and compliance of claims submitted for reimbursement.
This role serves as a quality assurance resource within the Revenue Cycle Management department by identifying billing errors, documentation deficiencies, coding inconsistencies, workflow opportunities, and compliance risks.
Key Responsibilities
* Performs routine and targeted audits of billing activities.
* Reviews claims for accuracy, documentation, coding, modifiers, and payer compliance.
* Identifies billing errors, denial trends, workflow deficiencies, and compliance risks.
* Conducts retrospective and prospective audits.
* Provides audit reports and performance metrics.
* Monitors Medicare, Medicaid, and commercial payer compliance.
* Reviews adjustments and write-offs.
* Assists with quality standards and SOP development.
* Participates in process improvement.
* Performs other duties as assigned.
Qualifications
* Proficient in Microsoft Office and billing software.
* 3+ years healthcare revenue cycle experience.
* Billing audit or QA experience preferred.
* Knowledge of Medicare, Medicaid, and commercial billing.
* Strong analytical and communication skills.
* Knowledge of CPT, HCPCS, ICD-10-CM preferred.
* Attention to detail.
* Data analysis and trend identification.
#J-18808-Ljbffr
Billing Auditor in gilbert at Unknown Company
This position is listed as full time and hybrid.