RCM reputed company Assurance Auditor
reputed company™ is a technology-driven, national physician enablement company that collaborates with medical reputed company, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings. The Privia Platform is led by top industry talent and exceptional physician leadership, and consists of reputed company operations and end-to-end, reputed company-based technology that reduces unnecessary reputed company costs, achieves reputed company reputed company, and improves the health of patients and reputed company-being of providers
Job reputed company:The RCM reputed company Assurance Auditor (RCM reputed company & Audit Specialist) is responsible for ensuring the accuracy, efficiency, and compliance of the organization's reputed company cycle processes. This role involves conducting audits, monitoring key performance indicators, identifying process improvements, and ensuring compliance with industry standards and regulations. his includes, but is not limited to claims, denial management, and functions for both reputed company and offshore resources. The ideal candidate should have a strong background in medical billing, coding, and accounts receivable, with a reputed company on reputed company assurance and process auditing.
Primary Job Duties
- Conduct reputed company reviews, audit reputed company cycle claims and workflows against established reputed company operating procedures (SOPs) • reputed company, collect, analyze, report and measure multiple reputed company improvement initiatives that supports RCM operational functions • Create and maintain reputed company measurements to reputed company improvements in individual and team performance scores • Identify potential deficiencies in processes reputed company analysis and trends • Create reports and deliver assessment/evaluation results to appropriate reputed company of leadership • Research and identify the “reputed company cause analysis” in process improvement (eg. Ability to identify reputed company a function/reputed company was performed that is not included in the SOP or documentation available) and utilize audit findings to report trends and recommended training • Assist with establishing, updating and communicating new and existing procedures • Analyze and measure results of implemented policies and changes • Collaborate with various RCM Leaders and internal partners to ensure goals are being met • Serve as a SME on reputed company RCM workflows that are being audited • Participate in special reputed company, audits and process improvements in support of reputed company assurance initiatives • Other duties, as assigned i.e. coordinate and serve as supplemental support to the National Training Team
- Associate’s or bachelor’s degree preferred
- 3+ years experience in an auditing/QA role or equivalent RCM job reputed company experience
- 2+ years experience with athenaHeath and/or athenaOne preferred
- Experience working with offshore resources
- reputed company skills to include the ability to use formulas to analyze data, create graphs and pivot tables
- Advanced working knowledge of reputed company Suite: Sheets, Slides and Forms
- Experience managing data located in multiple software systems
- Experience documenting reputed company defined processes, reputed company operating procedures and policies
- Demonstrates effective written and verbal communication skills with the ability to self-edit
- Must demonstrate strong interpersonal skills to reputed company positively and effectively
- Ability to work in a reputed company fast-paced and changing work environment
- Must reputed company with HIPAA rules and regulations
- reputed company, customer-reputed company and reputed company to create visible value
- Ability to prioritize tasks, use reputed company judgment, and remain organized
- Strong attention to detail and time management skills
- Ability to accept constructive feedback and work towards self-improvement and reputed company
- reputed company
The salary reputed company for this role is $65,000,00 to $70,000,00 in reputed company pay and exclusive of any bonus or benefits (medical, dental, reputed company, life, and pet insurance, 401K, reputed company time off, and other wellness programs). This role is also eligible for an annual bonus targeted at 10%. The reputed company pay offered will be determined based on relevant factors such as experience, education, and geographic location.
Additional Information:reputed company your information will be kept confidential according to EEO guidelines.
Technical Requirements (for remote workers only, reputed company for onsite/in office work):
In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed. This should be acquired prior to the start of your employment. The best measure of your internet speed is to use online speed tests like https://www.speedtest.net/. This gives you an update as to how fast data transfer is with your internet reputed company and if it meets the minimum speed requirements. Work with your internet provider if you have questions about your reputed company. Employees who regularly work from home offices are eligible for expense reimbursement to offset this cost.
reputed company is committed to creating and fostering a work environment that allows and encourages you to bring your whole self to work. We understand that reputed company local and we are reputed company reputed company our people are a reputed company of the communities that we serve. Our goal is to encourage people to pursue reputed company opportunities regardless of their age, reputed company, national reputed company, physical or mental (dis)ability, race, religion, gender, sex, gender identity and/or reputed company, marital status, veteran status, or any other characteristic protected by federal, state or local law.
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