Sr Auditor Zero Balance

Location: Remote
Compensation: To Be Discussed
Staff Reviewed: Wed, May 08, 2024
This job expires in: 18 days

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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