Bancroft · 3 days ago
Billing Auditor
Cherry Hill, NJ
Full-time
Onsite
Senior Level
$64K/yr - $76K/yr
5+ years expBancroft is seeking a detail-oriented and analytical Billing Auditor to join their team. In this role, you will ensure the accuracy, completeness, and regulatory compliance of billing documentation across the revenue cycle, conduct audits, prepare reports, and support the organization’s commitment to quality and ethical standards.
CommunitiesHealth CareNon ProfitSocial
Responsibilities
Perform systematic reviews of claims billing to ensure quality, completeness, and accuracy throughout the revenue cycle
Conduct random patient encounter audits across various locations
Review audit work documents and admission documentation from the EHR for accuracy, completeness, and compliance with corporate policies and procedures
Plan and conduct audits related to revenue cycle processes or regulatory requirements, including Medicare and Medicaid compliance
Audit revenue cycle reports to verify accurate reporting of revenue, receipts, discounts, and related financial activity
Prepare clear and comprehensive audit findings for leadership, including the Senior Director of Risk & Quality, Director of Revenue Integrity, Corporate Compliance Manager, and CFO
Analyze revenue cycle data to identify discrepancies, trends, and improvement opportunities while ensuring compliance with HIPAA, CMS, and other healthcare regulations
Provide detailed summary reports and supporting documentation for all audit outcomes
Ensure all appropriate billing charges are captured, documented, and reimbursed in accordance with policies, procedures, and regulatory requirements
Identify opportunities to strengthen charge capture processes, improve internal controls, and implement best practices to enhance compliance and revenue integrity
Respond to third-party audits, including charge recovery and regulatory audits
Provide training and education to clinical and program staff on documentation standards and charge capture processes
Uphold the organization’s Mission, Vision, Core Values, Philosophy of Care, and Code of Ethics in all interactions and decision-making
Maintain required training certifications, licensing, and regulatory accreditations
Communicate effectively with colleagues, individuals served, and family members when applicable
Cooperate fully with inspections and investigations conducted by state or licensing agencies
Maintain a safe, respectful environment, reporting any concerns related to safety, compliance, abuse, neglect, discrimination, or policy violations
Adhere to all laws, regulations, organizational policies, and ethical guidelines
Follow individual supervision requirements outlined in relevant care or service plans (e.g., IPP, ISP, IEP), when applicable
Qualification
Required
Bachelor's degree from an accredited college or university in accounting, finance, or healthcare administration
Minimum of five years of revenue cycle management experience and/or revenue auditing experience in a healthcare setting
Preferred
Prior audit experience
Experience in billing audits, healthcare revenue cycle, compliance, or related field
Knowledge of HIPAA, CMS, Medicare/Medicaid, and healthcare regulatory guidelines
Strong analytical, organizational, and communication skills
Proficiency with EHR systems and audit documentation processes
Ability to prepare detailed reports and collaborate across departments
Benefits
Meaningful work that supports quality care and ethical operations.
Collaborative environment committed to professional growth and continuous improvement.
Opportunities to influence organizational practices and enhance compliance and revenue integrity.
Company
Bancroft
Bancroft provides programs and services for individuals with autism, intellectual and developmental disabilities.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Toni Pergolin
President / Chief Executive Officer
Amy Law
Talent Acquisition Partner
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