Evident
Medical Billing and Coding Compliance Analyst
Remote - US
Sponsorship not specifiedDetected 31 days ago
ComplianceExcelAuditingHIPAAResearchCommunication
About the role
- Conducts compliance audits on medical billing functions performed by TruBridge employees or TruBridge contracted or sub-contracted staff.
- Provides informal guidance to billers and solves straightforward problems.
- Refers to Federal, State, and payer-specific billing guidelines as well as internal policies and procedures when conducting these audits.
Responsibilities
- This document does not create an employment contract, implied or otherwise.
- Document audit findings within the tool developed for such; discuss questions with the department's Billing and Coding Compliance Consultant and/or the Department Leader
Requirements
- 2 years Medicare hospital billing experience (within the last 12 months)
- Prior experience in conducting research regarding Medicare/Medicaid billing concepts
- These Goals and objectives are not to be construed as a complete statement of all duties performed; employees will be required to perform other job-related duties as required.
- All activities must be in compliance with Equal Employment Opportunity laws, HIPAA, ERISA and other regulations, as appropriate.
Nice to have
- 5 years prior Medicare/Medicaid hospital billing experience preferred
- Acute Hospital and CAH Medicare/Medicaid billing experience preferred
- Prior billing compliance auditing experience favorable
- Excel experience helpful
- Working Environment/Physical Demands
- Working Environment:
- General office environment: Works generally at a desk in a well-lighted, air-conditioned cubicle/office, with moderate noise levels.
- Periods of stress may occur.
Benefits
- Conduct audits upon claims as prescribed in the Medical Billing and Coding Compliance audit plan, especially upon changes made to claims by billers employed, contracted, or subcontracted by the Company
- Suggest possible policies and procedures or educational materials to be developed, or possible changes to be made within the billing system or client's electronic health record
Company info
- Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time.
- It does not alter the "at will" employment relationship between the company and the employee.
- Individual Contributor
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