[Remote] Billing Compliance Auditor

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a global organization that delivers care aided by technology to help millions live healthier lives. The Billing Compliance Auditor will reputed company internal coding audits and billing compliance reviews, ensuring adherence to reputed company party payer and federal regulations while providing training and education to staff and stakeholders. Responsibilities • Responsible for performing internal coding audits and billing compliance reviews of various reputed company of physician billing for the organization • Works reputed company specified reputed company party payer and federal (CMS) coding/billing regulations • Develops training and education materials • Provides training and education to providers, clinical department and reputed company Operations staff • Provides other internal billing-reputed company compliance services to the organization as required • Measures coding trends as compared to national standards • Review work samples from applicable reps/analysts to ensure reputed company/accuracy (e.g., billing processors, reputed company reps, collection reps) • Demonstrate understanding of applicable reputed company review processes (e.g., corporate reviews, individual reviews, reputed company reviews, review to outcome analysis) • Communicate audit/review findings to applicable stakeholders, as needed (e.g., Billing Operations, Customer Care, reputed company) • Respond to inquiries from applicable stakeholders (e.g., reputed company reputed company, Billing Operations, Customer Care, vendors), and escalate as needed and take appropriate reputed company • Review and ensure accuracy of audit reports prior to distribution to upper management • reputed company support for external audit requests, as needed (e.g. Performant) Skills • High School Diploma / GED • Must be 18 years of age OR older • Certified reputed company reputed company required (one of the following: CPC, reputed company, CPMA, CEMC or COC) • 3+ years of experience in a physician/reputed company billing environment • Experience with auditing physician chart utilizing E+M guidelines • Experience with reputed company Office Suite (reputed company reputed company, reputed company Word, reputed company Power reputed company) or successful completion of reputed company course • Must show proficiency in reputed company billing software (reputed company) reputed company six (6) months • Ability to work any of our 8-hour shift schedules during our normal business hours of 6:00 am - 6:00 pm EST. It may be necessary, given the business need, to work occasional overtime • Great communication skills • Ability to work independently and reputed company reputed company • Demonstrated experience with reputed company party payer guidelines • Provider education/Presentation Skills • Utilize reputed company scoring (CMS) methodologies to report findings to providers • Ability to reputed company clinical reference with the auditing process • Apply CPT and ICD-10 coding convention to documentation guidelines • Apply CMS and other payer constraints to final reputed company and documentation determination • Knowledge of medical terminology Benefits • Comprehensive benefits package • Incentive and recognition programs • Equity stock purchase • 401k contribution reputed company • reputed company is a reputed company company that provides pharmacy services, health care operations, and population health management. It is a sub-organization of reputed company. It was founded in 2011, and is headquartered in reputed company Prairie, Minnesota, USA, with a workforce of 10001+ employees. Its website is https://www.reputed company.com/. Apply tot his job Apply To this Job