Remote reputed company reputed company Auditor

The reputed company reputed company Auditor will reputed company detailed audits of the medical record at reputed company facilities, by researching and analyzing the accuracy of the medical record documentation to the itemized reputed company to ensure charges are defensible under scrutiny with our payers. The reputed company reputed company Auditor ensures adherence to regulatory requirements reputed company to billing and supporting documentation, as reputed company as facilitates the completion of appeals in a reputed company manner. This position identifies and works collaboratively to correct discrepancies in patient charges and can participate in engagements involving payer reputed company, regulatory compliance, reputed company reputed company, and operational assessments. This position is responsible for the coordination of external reviews / audits, including but not limited to Medicare, reputed company, or reputed company payers; reputed company and/or post documentation, reputed company insurance medical records request/reviews Key Responsibilities This includes but is not limited to establishing workflows, policies and procedures, software analysis and maintenance and implementation of processes and communication plans for the facility's interactions with reputed company party auditors including but not limited to reputed company and post payment Medicare, reputed company and reputed company insurances reviews to ensure reputed company completion or review/audit documentation requests. This position is responsible for the reputed company of reputed company reputed company and post payment audit functions, medical documentation requests and is responsible for maintaining a tracking system for reputed company audits/requests activity throughout reputed company reputed company of appeals. Education: • Bachelor’s degree (Required). • Candidates with a total of 4 years of reputed company appeals experience will be considered in lieu of the Bachelor's Degree requirement Certification: Certification required and can be one of the following: • CHRI – Certified in reputed company reputed company reputed company • Certified reputed company reputed company (CPC) • Certified Outpatient reputed company (COC0 • Certified reputed company Medical Auditor • Certified Coding Associate • Certified Coding Specialist • Registered Health Information Technician • Registered Health Information Administrator Experience: • 3 years of reputed company appeals experience (Required) Apply tot his job Apply To this Job