Maryland Oncology Hematology · 6 hours ago
Quality Assurance Auditor
United States
Full-time
Remote
Mid Level
3+ years expMaryland Oncology Hematology is part of the US Oncology Network, a large community-based oncology physician network dedicated to advancing cancer care in America. The Quality Assurance Auditor is responsible for conducting audits of payment posting production and balancing activities to ensure accuracy and compliance within the Revenue Cycle Management function.
Health CareHospitalMedicalOncology
Responsibilities
Audit Payment Posting Batches: Review and validate payment posting batches for accuracy, ensuring alignment with remittance advice, bank deposits, and internal reconciliation logs
Balancing and Reconciliation: Balance daily, weekly, and monthly payment posting reports against bank statements and system entries. Investigate and resolve variances, unknowns, and unapplied payments
Compliance and Documentation: Ensure adherence to HIPAA, internal policies, and regulatory requirements. Maintain detailed documentation of audit findings, corrective actions, and performance trends
Error Identification and Resolution: Identify posting errors, mapping issues, and system discrepancies. Collaborate with posting teams and IT to resolve issues and improve data integrity
Training and Support: Provide feedback and guidance to offshore and domestic teams. Support onboarding and ongoing training by sharing best practices and updated workflows
Process Improvement: Participate in initiatives to enhance posting accuracy, streamline reconciliation workflows, and improve turnaround times. Recommend updates to SOPs and audit protocols
Reporting and Metrics: Generate audit reports, track KPIs, and contribute to monthly reporting packages. Ensure clear labeling and segmentation of data for internal and controller-facing audiences
Qualification
Required
Minimum of 3 years of experience in healthcare revenue cycle, payment posting, or financial auditing
Strong understanding of EOBs, ERA formats, payer remittance structures, and reconciliation processes
Proficiency in Centricity, Resolve, and other EHR/payment posting platforms
High attention to detail and accuracy in financial data handling
Effective communication skills for cross-functional collaboration
Familiarity with HIPAA and other regulatory standards
Ability to work independently and manage multiple priorities
Preferred
Experience auditing offshore payment posting teams
Knowledge of SNOW ticketing systems and mapping protocols
Background in banking or healthcare finance
Lean Six Sigma or similar process improvement certification
Benefits
M/D/V
Life Ins.
401(k)
Medical Health Care
Dental Care
Vision Plan
401-K with a matching component
Life Insurance
Short-term and Long-term disability
Wellness & Perks Programs
Company
Maryland Oncology Hematology
Maryland Oncology Hematology is a community based healthcare institution specialized in research and treatment of cancer patients.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
David Weng
Partner
Recent News
Maryland Daily Record
2024-12-17
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