Baptist Memorial Health Care · 6 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
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
Baptist Memorial Health Care is a non profit company that provides skilled nursing, rehabilitation, cardiac, and clinical services.
Funding
Current Stage
Late StageRecent News
HealthCareIT News
2025-12-19
2025-06-21
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