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Surgical Information Systems

SIS | Operate Smart

Lead Billing QA

QA EngineerQA EngineerFull TimeRemoteSeniorTeam 201-500Since 1996H1B SponsorCompany SiteLinkedIn

Location

Alabama + 3 moreAll locations: Alabama, Florida, Missouri, South Carolina

Posted

1 day ago

Salary

Not specified

Seniority

Senior

Bachelor Degree3 yrs expEnglish

Job Description

• Lead quality reviews of billing activities to ensure accuracy, compliance, and adherence to established workflows and client-specific requirements. • Support the Revenue Cycle Services team by identifying errors, documenting findings, and contributing to continuous improvement efforts. • Perform routine quality audits on billing activities, including charge entry, claim creation, claim submission, and corrections. • Validate accuracy of CPT/HCPCS codes, modifiers, and diagnosis codes. • Ensure compliance with client-specific billing guidelines, payer rules, and internal SOPs. • Document audit results clearly, including error categorization and supporting detail. • Enter audit findings into QA tracking tools and dashboards. • Escalate recurring or high-risk issues to the QA Manager. • Track error trends and contribute insights to help reduce downstream denials and rework. • Prepare and present audit feedback with billing team leads and supervisors.

Job Requirements

  • Bachelor’s degree in Healthcare Administration, Business, Finance, or related field or equivalent experience.
  • 3-5 years of experience in healthcare revenue cycle billing.
  • Experience in ASC billing is strongly preferred.
  • Prior exposure to quality review, auditing, or compliance is a plus.
  • Working knowledge of: Medical billing workflows
  • CPT, HCPCS, ICD-10 (basic to intermediate level)
  • Payer claim submission requirements
  • Experience with practice management and/or RCM systems.
  • Strong attention to detail and accuracy.

Benefits

  • Benefit package including Medical, Vision, Dental, Short Term Disability, Long Term Disability, and Life Insurance
  • Vacation/Sick time
  • 401(k) retirement plan with company match
  • Paid Holidays
  • SIS Cares Day

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