Auditor

• Perform a variety of audit services including charge audit, compliance audit, medical necessity, denials and other requests as needed. Audits may be performed on a concurrent or retrospective basis
• Review and analyze the client inpatient and/or outpatient itemized billing statement and the patient medical record and related documentation to identify items that were not billed correctly.
• Document findings on appropriate form and submit findings to client management staff daily so new billing forms can be generated in hospitals billing systems.
• Adhere to the National Health Care Billing Audit Guidelines, UASI Code of Conduct and Compliance Program, and the client third party audit policy while performing all duties.
• Attend meetings with members of client-hospital finance, medical records, and ancillary departments.
• Educate Client-Hospital personnel on validation and documentation of charges if requested by client contract relationship.
• Navigate hospitals medical record system and understand where to locate the financial information in relation to the patient payor billing information

Nurse Auditor – PRN

Senior Internal Auditor

Senior IT Internal Auditor

Agency Auditor

Senior Agency Auditor

Claims Auditor