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Quality Control Auditor (Remote)

CHS Inc. Main Office

Raleigh,NC - USA

Position Requirements

Job Overview:

To work on registration and data entry tasks/questions from off-shore vendors. To audit daily work done by off-shore Data Entry teams to ensure there is no delay with charges and that the charges are being posted correctly within the billing system.

Responsibilities and Duties:

  • Audit medical records and registration documentation to identify possible billing deficiencies
  • Review and correct time-related conflicts
  • Review and correct insurance-related payor codes
  • Send requests for new surgeons to be added to the billing system
  • Research, analyze, and respond to inquiries regarding compliance and inappropriate billing denials
  • Work task queues within various systems
  • Recommend vendor education based on individual audit results
  • Assist with Quality team to update incorrect provider reports
  • Work on special projects
  • Support off-shore Registration and Charge Entry teams as needed

Qualifications:

  • Minimum of 2 years of auditing experience in the healthcare field
  • Insurance billing knowledge
  • Knowledge of medical terminology along with ICD-10, CPT, and ASA codes
  • Knowledge of Excel

Total Rewards

  • Hourly: $17.80- $26.80
  • Generous benefits package, including:
  • 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

EEO Statement

North American Partners in Anesthesia is an equal opportunity employer.

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Job Profile

Regions

North America

Countries

United States

Benefits/Perks

Paid Time Off Professional development

Tasks
  • Audit medical records
  • Respond to compliance inquiries
  • Review billing deficiencies
Skills

ASA codes Auditing Billing CPT Excel ICD-10 Insurance Billing Medical terminology

Experience

2 years

Timezones

America/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9