Billing And Payment Auditor Specialist

QTC Management, Inc. San Dimas , CA 91773

Posted 2 weeks ago

Job Summary:

Performs coding and documentation review of records to ensure compliance with company billing policies and procedures, contractual requirements and governmental billing regulations.

Essential Duties and Responsibilities:

  • Analyzes and validates medical records documentation to ensure coding data is compliant with coding guidelines

  • Performs audits ranging from moderate to complex

  • Utilizes data analysis and extraction tools to evaluate billing transactions and identify potential billing errors

  • Identifies and researches audit finding presenting concerns and solutions to appropriate leadership

  • Ensures all information related to findings are appropriately documented according to company policies and procedures

  • Completes most routine audit functions with minimum supervision

  • Other projects and duties as assigned

Competencies:

  • Ability to perform detailed mathematical calculations and understanding of mathematical concepts

  • Ability to manage multiple tasks simultaneously, work independently with minimal supervision and meet stringent deadlines

  • Attention to detail/excellent follow skills

  • Proactive, self motivated and quality results oriented

  • Working knowledge of billing requirements to include procedural and diagnostic coding

Education and/or Experience: (includes certificate & licenses)

  • Medical billing knowledge preferred

  • Strong working knowledge of MS Excel

  • Experience working with IDEA Data Analysis Software

  • Must be able to successfully pass National Agency Check with Inquiries (NACI) background investigation

This job description supersedes all prior job descriptions and is intended to describe the general content and essential requirements for the position listed above. It is not to be construed as an exhaustive statement of requirements, duties and responsibilities. Management reserves the right to add or change the duties of this position as required at any time.

QTC Management Inc. is a VEVRAA Federal contractor and an Equal Opportunity Employer. The company has an ongoing commitment to affirmative action and the creation of a workplace free of discrimination, harassment and retaliation. The company recruits, hires, trains, and promotes individuals in all job titles without regard to race, color, creed, religion, ancestry, national origin, age, sex, sexual orientation, people with disabilities protected under law, and protected veteran status.


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Billing And Payment Auditor Specialist

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