Lead Billing QA
Surgical Information Systems
full-time
Posted on:
Location Type: Remote
Location: Alabama • Florida • United States
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Job Level
About the role
- Lead quality reviews of billing activities to ensure accuracy, compliance, and adherence to established workflows and client-specific requirements.
- Support the Revenue Cycle Services team by identifying errors, documenting findings, and contributing to continuous improvement efforts.
- Perform routine quality audits on billing activities, including charge entry, claim creation, claim submission, and corrections.
- Validate accuracy of CPT/HCPCS codes, modifiers, and diagnosis codes.
- Ensure compliance with client-specific billing guidelines, payer rules, and internal SOPs.
- Document audit results clearly, including error categorization and supporting detail.
- Enter audit findings into QA tracking tools and dashboards.
- Escalate recurring or high-risk issues to the QA Manager.
- Track error trends and contribute insights to help reduce downstream denials and rework.
- Prepare and present audit feedback with billing team leads and supervisors.
Requirements
- Bachelor’s degree in Healthcare Administration, Business, Finance, or related field or equivalent experience.
- 3-5 years of experience in healthcare revenue cycle billing.
- Experience in ASC billing is strongly preferred.
- Prior exposure to quality review, auditing, or compliance is a plus.
- Working knowledge of: Medical billing workflows
- CPT, HCPCS, ICD-10 (basic to intermediate level)
- Payer claim submission requirements
- Experience with practice management and/or RCM systems.
- Strong attention to detail and accuracy.
Benefits
- Benefit package including Medical, Vision, Dental, Short Term Disability, Long Term Disability, and Life Insurance
- Vacation/Sick time
- 401(k) retirement plan with company match
- Paid Holidays
- SIS Cares Day
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
CPT codesHCPCS codesICD-10medical billing workflowsquality reviewauditingcomplianceerror categorizationclaim submissioncharge entry
Soft Skills
attention to detailaccuracycommunicationpresentation skillsproblem-solving