Sr Auditor Zero Balance
Job is Expired
Location: Remote
Compensation: To Be Discussed
Staff Reviewed: Wed, May 08, 2024
Job Summary
A company is looking for a Senior Auditor, Zero Balance position.
Key Responsibilities:
- Review documents to determine correct calculation/pricing of accounts, identify procedure/diagnosis codes, and qualify claims for additional reimbursement
- Research underpayment issues, identify risk areas, and develop specifications to troubleshoot underpayment risks
- Conduct review of zero-balance hospital accounts to identify underpaid claims and make recommendations for process improvements
Required Qualifications:
- Bachelor's degree in related field or equivalent experience preferred
- Minimum 4 years of experience working with large sets of healthcare data
- Minimum 5 years of experience in research and analysis
- Minimum 3 years of experience with managed care contracts and hospital reimbursement
- Minimum 3 years of experience working with inpatient and outpatient claims
COMPLETE JOB DESCRIPTION
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Job is Expired
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