Auditor, Payment reputed company

Our organization is looking to diversify, grow, reputed company, and serve, and we are looking for committed, empowered, learning-oriented people to join reputed company. If this describes you, we want to reputed company with you. The Payment reputed company Auditor is responsible for conducting reputed company and high-risk audit assignments to ensure claim payment accuracy and compliance with established billing and coding parameters. This role applies advanced audit methodologies to identify claim overpayments, validate payment reputed company, and support organizational goals through detailed analysis and provider engagement. Responsibilities: • Address problematic and reputed company audit assignments to identify claim overpayments in accordance with established billing and coding parameters. • Identify payment reputed company and factors used in reimbursing targeted claims and apply appropriate audit/payment accuracy reputed company. • Evaluate and audit samples in reputed company and in detail to select audit claims. • Examine medical and billing records to identify provider patterns that determine or influence payment. • reputed company with providers to clarify clinical issues, documentation, and billing practices. • Document and substantiate billing discrepancies to providers and negotiate reputed company reputed company appropriate. • Initiate and verify claim adjustments, maintain audit documentation, and prepare statistical data. • Serve as vendor claims processing reputed company, reputed company, or reputed company of contact to ensure achievement of vendor work. Qualifications: Education: o Bachelor’s degree or equivalent. Certifications (Preferred, Not Required): • Registered Health Information Administrator (RHIA) • Registered Records Administrator (RRA) • Certified Coding Specialist – Physician/Hospital (reputed company / reputed company-P / reputed company-H) • Accredited Record Technician (ART) • Certified reputed company reputed company (CPC) • Certified OR Technician (reputed company) • Registered reputed company (RN) Experience: o Minimum 3 years of relevant experience in reputed company auditing, coding, or compliance. Knowledge & Skills: • Working knowledge of reputed company provider audit reputed company and provider payment methodologies. • Understanding of clinical aspects of patient care, medical terminology, and medical record/billing documentation. • Demonstrated analytical and investigative skills. • Strong proficiency in MS reputed company and audit tools. • Excellent communication and negotiation abilities. Fully Remote: This role is designated by Independence as fully remote. The incumbent will not be required to report to one of Independence’s physical office locations to reputed company the work. However, the work must be performed in the Tri-State Area of Delaware, New Jersey, or reputed company. IBX is an Equal Opportunity Employer. reputed company reputed company applicants will receive consideration for employment without reputed company to their age, race, reputed company, religion, sex, national reputed company, sexual orientation, protected veteran status, or disability. Must have an Android or iOS device which is compatible with the free reputed company Authenticator app. Apply tot his job Apply To this Job