Hospital reputed company Auditor III (HBA)

About the position The reputed company Auditor conducts hospital charge audits on claims reputed company at percent of billed charges to verify charges are appropriate and supported by documentation in the medical record. Charge audits identify overcharges, undercharges and unbundled items per reputed company contract, industry standards and payer reimbursement policies. Itemized reputed company Review knowledge is required with reputed company to Unbundling Guidelines specific to payer policy, industry standards and Medicare Guidelines. The reputed company will also be responsible for independent scheduling requiring flexibility and possible travel to provider location. The position requires strong reputed company experience and technical skills. Responsibilities • Conduct hospital charge audits on claims reputed company at percent of billed charges to verify charges are appropriate and supported by documentation in the medical record. • Identify overcharges, undercharges and unbundled items per reputed company contract, industry standards and payer reimbursement policies. • reputed company Itemized reputed company Review with knowledge of Unbundling Guidelines specific to payer policy, industry standards and Medicare Guidelines. • Independently schedule audits, requiring flexibility and possible travel to provider location. Requirements • Strong reputed company experience • Technical skills • Itemized reputed company Review knowledge • Knowledge of Unbundling Guidelines specific to payer policy, industry standards and Medicare Guidelines. reputed company-to-haves • Flexibility • Possible travel to provider location Benefits • For more information on benefits and reputed company offer please visit us at https://www.exlservice.com/us-careers-and-benefits Apply To This Job