Compliance Bill Auditor jobs in United States
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Baptist Memorial Health Care · 15 hours ago

Compliance Bill Auditor

Baptist Memorial Health Care is seeking a Compliance Bill Auditor responsible for bill auditing to ensure charges are billed and paid accurately. The role involves examining medical records, responding to audit requests, and conducting internal audits to identify compliance issues and inefficiencies.

GovernmentHealth CareHospitalMedicalNon ProfitNursing and Residential CareRehabilitationWellness

Responsibilities

Under direction of Compliance Officer, Bill Auditor is responsible for bill auditing with overall goal of ensuring charges were billed and paid accurately
Bill Auditor examines medical records, billing information, payment histories, medical processes and regulations to identify inaccuracies, compliance issues and inefficiencies
Bill Auditor is responsible for responding to requests from Medicare, government entities and third party auditors and initiating either appeals or paybacks based on relevant regulations and guidelines
Bill Auditor works with other departments to gather information, conduct internal audits set forth in OIG Work Plan and identifies "problem areas" within the facility
Bill Auditor, together with other members of the department, prepares Corrective Action Plans, conducts education and training and monitors for progress toward improved performance and compliance
Other duties include entering information and comments to tracking system and HMS to ensure responses to audit requests are communicated to other departments and occur within required timeframe, monitoring impact of audits on facility's resources and conducting focus audits to identify areas where change to organizational practices, policies or procedures might be needed to enhance organizational efficiencies and effectiveness

Qualification

Healthcare lawsRegulationsBilling auditing experienceCMS coverage methodologiesCodingBillingComputer skills for audits

Required

Bachelor's Degree
Experience working in a hospital setting with billing auditing
Knowledge and understanding of healthcare laws and regulations, CMS coverage and payment methodologies, coding and billing, and audit practices
Computer skills and applications required for audits and research

Company

Baptist Memorial Health Care

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Baptist Memorial Health Care is a non profit company that provides skilled nursing, rehabilitation, cardiac, and clinical services.

Funding

Current Stage
Late Stage

Leadership Team

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Jason Little
President and CEO
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Company data provided by crunchbase