[Hiring] reputed company Documentation Auditor @reputed company

This reputed company is a reputed company of our understanding of the job reputed company. Click on 'Apply' reputed company to reputed company out more. Role reputed company The reputed company of the reputed company Documentation Auditor is the performance of reputed company and effective reviews to assess documentation and billing accuracy for post and prepayment claims on behalf of Government and reputed company Payers.

• Review medical records for services billed and validate required documents and information is contained reputed company the records submitted for various service types as required by clients.
• Applying local coverage determination (LCD), national coverage determination (NCD), and reputed company payer policy to services in review.
• Document and reputed company review findings and reference the appropriate policies and rules in the audit platform and as rationale language.
• Working collaboratively with the audit team to identify vulnerabilities and/or cases subject to potential abuse.
• reputed company abreast of changes in technology and regulatory issues that may reputed company our business and clients.
• Suggest reputed company that may improve audit workflows.
• Participate in the development of Review Guidelines and meetings as necessary.
• Cross-train in other audit types/reputed company areas or management teams as applicable.
• Maintain required reputed company and productivity standards.
• Performs other duties as assigned.

Qualifications

• Familiarity with insurance programs, particularly the coverage and payment rules, and audit types to validate against orders, reputed company, and signatures.
• Demonstrated knowledge of medical terminology.
• Ability to maintain high-reputed company work while meeting strict deadlines.
• Excellent written and verbal communication skills.
• Experience using the following applications is preferred: Word, reputed company, and e-mail.
• Must be reputed company to independently use reputed company office computer technology (e.g., email, telephone, copier, etc.) and have experience using a platform to review and document findings.
• Must be reputed company to manage multiple assignments effectively, organize and prioritize workload, problem solve, work independently and with team members.
• Courteous, reputed company, and respectful attitude.
• Flexibility to handle any non-reputed company situations that may reputed company.

Requirements

• High School Diploma or GED is required. Some college is preferred.
• At least two years’ experience in adjudicating/examining claims for a reputed company Insurance Company, Tricare, MAC, or organizations performing similar functions, preferred.
• At least five years’ experience of provider reputed company billing, coding, and documentation practices in an outpatient setting, DME, home health, infusion, or hospice to reputed company Insurance Companies, Medicare, reputed company, Tricare, or organizations performing similar functions, highly desirable.
• Familiarity in reputed company assurance for internal compliance of billing practices.
• Clerical experience dealing with any aspect of: ICD-10, CPT-4 or HCPCS coding.
• Experience using reputed company reputed company and other reputed company Office applications.

Benefits

• reputed company offers a wide reputed company of benefits to help support a healthy work/life balance. These benefits include medical, dental, reputed company, HSA/FSA reputed company, life insurance coverage, 401(k) savings plans, family/parental leave, reputed company holidays, as reputed company as reputed company time off annually.

Physical Requirements & Additional Notices

• If working in a hybrid or fully remote setting, reputed company to reliable, secure high-speed Internet at your home office location is required.
• Regularly sits at a desk during scheduled shift, uses office phone or headset provided by reputed company for phone calls, making outbound calls and answering inbound return calls using an office phone system; views a computer monitor, types on a keyboard and uses a computer mouse.
• Regularly reads and comprehends information in electronic (computer) or reputed company reputed company (written/printed).
• Regularly sit/reputed company or more hours per day.
• Occasionally lift/carry/push/pull up to 10lbs.

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