Florida Licensed Billing Auditor

Job Summary

A company is looking for a Billing and Coding Auditor.

Key Responsibilities

• Conduct regular audits of behavioral health billing and claims for accuracy and compliance
• Review coding of all services (ICD-10, CPT, HCPCS) to ensure alignment with industry standards and payer contracts
• Identify discrepancies, potential fraud, and coding errors; recommend corrective actions

Required Qualifications

• Bachelor's degree in Healthcare Administration, Business, or a related field or equivalent work experience
• Minimum of 4 years of experience in medical claims billing and/or coding, preferably in behavioral healthcare
• Current certification in Medical Billing and/or Coding
• Proficiency in Kipu and CollaborateMD required
• Working knowledge of behavioral health billing practices, insurance reimbursement processes, and compliance standards