GRK Unlimited · 7 hours ago
EMS Billing Compliance Auditor
GRK Unlimited is seeking an EMS Billing Compliance Auditor to join their Internal Auditing Team at Digitech Computer. The role focuses on ensuring compliance with ambulance billing regulations, conducting internal reviews, and assisting clients with their compliance needs.
Staffing & Recruiting
Responsibilities
Perform internal reviews daily
Recognize and report any system or billing errors identified during your daily reviews
Randomly select claims for review
Change gears and prioritize when additional projects arise (i.e. external record requests, client third party reviews, misc. request etc.)
Complete all work satisfactorily and in a timely manner
Qualification
Required
A minimum of two years' EMS billing experience is a MUST
A team player with the ability to work well independently, multitask and meet deadlines
Knowledge of ambulance coding, with the ability to recognize and define all levels of service
Ability to define/identify modifiers specific to ambulance claims
Knowledge of all CMS Ambulance regulations (Chapter 10) including, but not limited to, service levels, emergency and non-emergency transport definitions, and medical necessity
Comprehension of EMS run records: type of EMS personnel, treatments, procedures, and EMS abbreviations. A good understanding of all EMS terminology, and ability to identify when information is lacking/missing
Knowledge of dispatch protocols and EMS protocols
Proficient with Microsoft Applications: Excel, Outlook, and Word
Ability to respond to record requests - combine/insert/save PDF files, e-fax records etc
Benefits
3 weeks of PTO, increases with tenure
9 paid holidays
Volunteer Leave
Tuition Reimbursement
Company funded Wellness Account
Medical, Dental, Vision and Life insurance
401(k) plan
Company
GRK Unlimited
At GRK Unlimited, we specialize in connecting top-tier talent with organizations that value both skill and cultural alignment.
Funding
Current Stage
Early StageCompany data provided by crunchbase