Medical Billing and Coding Compliance Analyst
TruBridge
full-time
Posted on:
Location Type: Remote
Location: United States
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About the role
- Conduct compliance audits on medical billing functions performed by TruBridge employees or TruBridge contracted or sub-contracted staff.
- Provides informal guidance to billers and solves straightforward problems.
- Discusses findings with Compliance Consultant and/or Department Leader to identify needs for corrective and preventative action.
- Refers to Federal, State, and payer-specific billing guidelines as well as internal policies and procedures when conducting these audits.
- Conduct audits upon claims as prescribed in the Medical Billing and Coding Compliance audit plan.
- Document audit findings within the tool developed for such; discuss questions with the department’s Billing and Coding Compliance Consultant and/or the Department Leader.
- Suggest possible policies and procedures or educational materials to be developed, or possible changes to be made.
Requirements
- 2 years Medicare hospital billing experience (within the last 12 months)
- Prior experience in conducting research regarding Medicare/Medicaid billing concepts
- Excellent communication (written and oral) and interpersonal skills.
- Strong organizational, multi-tasking, and time-management skills.
- Detail-oriented and able to follow through on issues to resolution.
- Able to act both independently and as a team member.
- Comfortable speaking in a group setting
- Able to present audit findings in a confident and constructive manner
- Able to teach billing compliance concepts to an individual
Benefits
- Health insurance
- Paid time off
- Flexible work arrangements
- Professional development opportunities
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
medical billingcompliance auditsMedicare billingMedicaid billingbilling guidelinesaudit documentationbilling compliance concepts
Soft Skills
communication skillsinterpersonal skillsorganizational skillsmulti-tasking skillstime-management skillsdetail-orientedindependent workteam collaborationpublic speakingteaching skills