North American Partners in Anesthesia

One exceptional experience at a time...every day.

Revenue Optimization Auditor

AuditorAuditorFull TimeRemoteTeam 5,001-10,000H1B SponsorCompany SiteLinkedIn

Location

Florida + 3 moreAll locations: Florida, New York, North Carolina, Virginia

Posted

54 days ago

Salary

$55.7K - $76.6K / year

Professional Certificate3 yrs expEnglish

Job Description

• Audit medical records to identify missed charges, incorrect coding, and other inconsistencies that result in missed billing opportunities • Perform Root Cause Analyses and report findings that identify common issues, including over-coding, under-coding and missed billing opportunities • Retrieves any missing patient information and documentation required for billing • Complete coding of unbilled records identified through audits • Prepare reports, executive summaries, and examples of audit findings for presentation and educational purposes • Assist with Clinical Documentation recommendation, coding guidance research, and the development of coding educational documents • Conduct ad-hoc audits as needed to provide root cause analysis and recommendations for resolution • Pre-payment audit: review billing vs documentation, send documentation to the payer, complete necessary charge corrections, and/or identify CDI (Clinical Documentation Improvement) opportunities • Provide resolution of missing documentation tasks • Retrieve or request necessary documents, code for billing, and data entry • Provide coding support to cross-functional team inquiries and special projects

Job Requirements

  • Minimum 3 years coding experience
  • Must have and maintain an approved coding credential through AAPC (American Academy of Professional Coders) or AHIMA
  • Must have or obtain at least one additional certification (CANPC or CPMA), within 1 year of employment
  • Extensive knowledge of medical billing software and electronic medical records
  • Well-rounded knowledge of CMS requirements claims processing, billing/coding guidelines, and the Revenue Cycle process
  • Proficient PC skills, including Microsoft 365 Excel Proficiency to include basic formulas, concatenate, VLOOKUP, and pivot tables

Benefits

  • Paid Time Off
  • Health, life, vision, dental, disability, and AD&D insurance
  • Flexible Spending Accounts/Health Savings Accounts
  • 401(k)
  • Leadership and professional development opportunities

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