CompIQ Solutions

Auditor

• Conducts in-depth audits and reviews medical bills that meet escalated criteria from the bill review operations team
• Audits medical bills for appropriate, necessary, and any applicable unrelated charges
• Reviews payment recommendations against applicable fee schedule allowances, regulatory or administrative charges, coding, and identifies billing errors to determine if fraud or inaccurate billing
• Performs bill review functions in compliance with established client-specific rules and workflows that may change from time to time as well as CompIQ internal processing standard operating procedures
• Reviews provider appeals and state disputes to determine if additional monies are due to the provider
• Assists in the development and implementation of new audit/review methodologies to identify overpayments and underpayments to providers
• Applies knowledge of provider billing and patient accounting practices to the research of client policy and data to reveal new overpayment recovery opportunities
• Develops, maintains, and ensures adherence to multiple project schedules
• Achieves percent of savings expectations through their review billing
• Ensures productivity goals are met daily
• Communicates audit and review issues and results to supervisors and managers
• Participates in planning, daily meetings, and backlog sessions
• Performs other duties as assigned by supervisors and managers
• Complies with all company guidelines, code of conduct, policies, and standards

Medical Bill Auditor

Full-stack Engineer

• Provide inspirational leadership to the Development team.
• Mentor managers and individual contributors, support talent acquisition, performance management, career development, and retention initiatives.
• Collaborate with the CIO and executive team to define and execute the company’s software engineering roadmap, architecture standards, and technology vision.
• Ensure solutions are scalable, secure, reliable, and aligned with business goals.
• Oversee the design, development, testing, deployment, and maintenance of software applications.
• Champion agile methodologies, DevOps practices, CI/CD pipelines, and quality assurance processes to deliver projects on time and within budget.
• Identify opportunities to adopt new technologies, improve engineering processes, and drive efficiency.
• Promote best practices in cloud computing, microservices, security, and performance optimization.
• Partner closely with product management, operations, sales, and other departments to translate business requirements into technical solutions.
• Participate in strategic planning and budgeting for the engineering function.
• Ensure adherence to security standards, data privacy regulations, and industry-specific compliance requirements.
• Manage the engineering budget effectively, optimizing for cost-efficiency in a mid-sized company environment while investing in tools and talent.

Medical Bill Auditor

VP Software Engineering