ColumbusRecruiter Since 2001
the smart solution for Columbus jobs

Medical Billing Auditor - (Not Remote)

Company: Ohio ENT & Allergy Physicians
Location: Columbus
Posted on: January 16, 2022

Job Description:

Description:
Summary of Duties: To develop and maintain a QA program to ensure compliance and accuracy with billing and coding guidelines and requirements

Supervision & Reporting: Reports to Billing Director

Essential Functions:

--- Develop audit program to ensure staff is following all assigned processes, protocols and compliance guidelines
--- Develop physician audit program and provide routine physician education related to audit findings and coding changes
--- Review charges entered by billing staff to ensure compliance & accuracy with coding and billing requirements
--- Review charts to ensure appropriate documentation is present for all charges
--- Review claims payments to ensure accuracy of all components, including write off and balance transfers according to payer fee schedule & EOB
--- Review accounts worked by AR staff for appropriate account follow-up and resolution
--- Perform routine audits of office and hospital visits to ensure the documentation properly supports the E&M levels billed
--- Review all documentation requests by payers for pre-payment or medical necessity audit prior to submitting requested documentation
--- Develop and maintain a training program with the assistance and support of Billing Manager and Director
--- Modify/revise corporate billing policies as a result of audit findings, with the support and assistance of the Billing Director
--- Track results and provide scorecards to staff members and billing manager
--- Identify areas that could be improved and/or staff that would benefit from additional training
--- Conduct face-to-face meetings with providers to review audit results and provide additional education as needed
--- Assist with the on-boarding of new billers and on-going education of existing coders to maintain coding accuracy
--- Maintain current knowledge of coding and documentation guidelines

.

Requirements:
Education: High School Diploma

Skills/Experience:
--- Qualified applicant must be AAPC certified
--- Qualified applicant must have thorough knowledge of 1995 and 2021 E&M Guidelines
--- Qualified applicant should have good knowledge of medical terminology
--- Qualified applicant should have at least 3 years' experience in medical billing
--- Excellent oral and written communication skills required.
--- Knowledge of AthenaHealth (formerly GE-Centricity) practice management software and EHR packages beneficial but not required.
--- Knowledge of Microsoft Office software required.
--- Ability to create spreadsheets and tables in Microsoft Excel
--- Ability to operate a computer and basic office equipment.
--- Ability to establish and maintain effective working relationships with Physicians and all co-workers.
--- Must be well organized and detail-oriented.

Environmental/Working Conditions: Medical office environment.

Work hours: 8:00 a.m. - 5:00 p.m. Occasional overtime and travel may be required.

Physical Demands: Requires sitting and standing associated with a normal office environment. Manual dexterity needed for using computer keyboard. Responsibilities, skills and working conditions may change as needs arise.

PI158430791

Keywords: Ohio ENT & Allergy Physicians, Columbus , Medical Billing Auditor - (Not Remote), Accounting, Auditing , Columbus, Ohio

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Log In or Create An Account

Get the latest Ohio jobs by following @recnetOH on Twitter!

Columbus RSS job feeds