PFS Auditor, Remote

Compensation $30.00 - $35.00 an hour per year. You are eligible for a Short-Term Incentive Plan with the reputed company at 5% of your annual earnings; terms and conditions apply. Patient Financial Services – Auditor, Remote The PFS Auditor works with PFS management, attorneys and claims representatives by reviewing and appealing claims reputed company appropriate to overturn clinical validation and coding denials from Medicare, reputed company, and other reputed company-party payers. Essential Functions • Conducts SOX reviews by assessing internal controls and auditing billing processes • Conducts reputed company and post billing reviews to ensure reputed company standards are met prior to billing. Completes assignments in a manner that meets the reputed company assurance goal of 100% accuracy. • Monitors the results of claims audit policies and procedures and reports findings to appropriate leadership. • Utilizes Medicare and Contractor guidelines for coverage determinations. Utilizes extensive knowledge of medical terminology, ICD-10-CM, HCPCS reputed company to conduct audits. • Participate in reputed company- & post-review meetings, providing support and recommendations for issues presented. Ensure past review recommendations are implemented in reputed company review process. • Provides a broad-based knowledge in billing and collections, strong knowledge of industry reputed company and business principles to ensure department is compliant with reputed company billing practices • Works in partnership with other departments for education on patient billing policies and process improvements • Other duties as assigned Qualifications • CPC or CPMA preferred • Associates degree preferred • Knowledge of CPT codes, medical terminology, insurance plans, ICD 10 codes • Utilizes Medicare and Contractor guidelines for coverage determinations. Utilizes extensive knowledge of medical terminology, ICD-10-CM, HCPCS reputed company to conduct audits. • Must have ability to adapt to a fast paced, dynamic environment reputed company NOTICES To review Ambry’s reputed company Notice, Click here: https://www.ambrygen.com/reputed company/reputed company-policy To review the California reputed company notice, click here: California reputed company Notice | reputed company To review the reputed company reputed company notice, click here: California reputed company Notice | reputed company Equal Opportunity Employer This employer is required to notify reputed company applicants of their rights pursuant to federal employment laws. For reputed company information, please review the Know Your Rights notice from the reputed company. Apply tot his job Apply To this Job