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Medical Bill Auditor
CompIQ SolutionsMedical Bill Auditor supporting AuditIQ Bill Review Service Operations team through conducting line-level audits for processed medical bills. Responsible for ensuring compliance and identifying billing errors.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in conducting medical bill audits, ensuring compliance with client-specific rules and regulatory standards, and identifying billing errors. Proficient in applying knowledge of provider billing practices to enhance overpayment recovery opportunities.
Highest-signal resume keywords
Certified Professional Coder (CPC)Medical Bill AuditingCoding ComplianceOverpayment RecoveryCompIQ Bill Review Platform
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medical CodingAudit ReviewBilling Error IdentificationFee Schedule AnalysisProvider Appeals ReviewData ResearchProject SchedulingProductivity Goal AchievementRegulatory ComplianceHealthcare Billing Practices
Soft Skills
CommunicationTeam CollaborationProblem SolvingAttention to DetailAdaptability
Tools & Technologies
CompIQ Bill Review Platform
Certifications & Qualifications
Certified Professional Coder (CPC)AHIMA Coding CredentialAAPC Coding Credential
Industry Keywords
Workers’ CompensationMedical BillingHealthcare AuditingPatient AccountingBilling Compliance
About the role
Key responsibilities & impact- 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
Requirements
What you’ll need- High School Diploma or equivalent
- Associate or bachelor’s degree in nursing, medical coding, healthcare or related field preferred but not required
- Certified Professional Coder (CPC) certification or another coding credential from AHIMA or AAPC is required
- 2+ years performing audits against medical records for correct coding
- Familiarity with the CompIQ Bill Review Platform preferred but not required
- Workers’ Compensation experience preferred
Benefits
Comp & perks- Fair and Competitive Salary
- Flexible schedule in a hybrid or remote-work environment (depending on location)
- Flexible Paid Time Off
- Paid Parental Leave
- Tuition Reimbursement
- Identity Theft Protection
- Medical, Dental, and Vision Insurance
- 100% Company-paid Short-Term and Long-Term Disability
- 100% Company-paid Life Insurance with additional voluntary enrollment options
- Employee Assistance Programs including counseling with up to 6 complimentary sessions
- Monthly Wellness (Gym Membership) Stipend
- Health Spending Account (HSA) and Flexible Spending Account (FSA) Programs
- 401(k) Plan with a 100% vested company match
- Career development and growth opportunities