Audit Specialist

We need to output only HTML fragment, no html/body tags. Use

for section headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. We need to parse the posting. First, we have description: "Hart Medical Equipment provides a full range of home care products and support services based on individual needs. We strive to conduct our patient care operation with the highest standards. We are a nationally accredited, premier provider of home medical equipment and supplies. Status: Full Time Location: Grand Blanc, MI Hart Medical Equipment offers a competitive salary and benefits package. EOE" Then "SUMMARY: The Audit Specialist is responsible for conducting audits of billing, documentation, insurance claims, medical records, and regulatory compliance activities. This role ensures adherence to Medicare, Medicaid, commercial insurance, and accreditation requirements while identifying opportunities to improve reimbursement accuracy, reduce audit risk, and support operational excellence. The Audit Specialist works closely with billing, customer service, intake, clinical, and management teams to monitor compliance with payer guidelines, validate documentation requirements, and support corrective action plans." Then "ESSENTIAL DUTIES AND RESPONSIBILITIES: Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions." Then list of duties. We need to extract sections: About the role (maybe summary), Responsibilities (essential duties), Requirements (maybe qualifications), Qualifications (maybe education/experience), Skills (knowledge and skills), Benefits (competitive salary and benefits package), Pay (maybe not specified), Schedule (maybe not specified). We must not create sections with filler like "commensurate with experience" etc. So only include sections where we have real specific content. We have: - About the role: Could be the summary paragraph describing role. That's substantive. - Responsibilities: The essential duties list. - Requirements: Possibly the "Qualifications" section includes Education and/or Experience, Knowledge and Skills, Working Conditions, Performance Indicators, Language Skills, Mathematical Skills, Analytical & Problem Solving Ability, Certificates, Licenses, Registrations, Physical Demands, Work Environment, Training. But we need to separate Requirements vs Qualifications vs Skills. The instruction says use headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. So we need to map content accordingly. We need to decide what goes where. Typically: - About the role: summary. - Responsibilities: essential duties. - Requirements: maybe education/experience, certificates, etc. - Qualifications: maybe knowledge and skills? But they also have a "Knowledge and Skills" subsection. - Skills: maybe specific skills like Excel, communication, etc. But we need to avoid duplication. Let's parse the content: After "ESSENTIAL DUTIES AND RESPONSIBILITIES:" we have a list of duties broken into categories: Compliance Auditing, Billing and Claims Auditing, Documentation Review, Regulatory Compliance, Reporting and Analysis, Education and Training. Then "SUPERVISORY RESPONSIBILITES This position has no supervisory responsibilities." Then "Qualifications To perform this job successfully, an individual must be professional, proactive and positive with internal and external customers and coworkers. The requirements listed below are representative of the knowledge, skill, and/or ability required." Then subheadings: Education And/or Experience, Knowledge and Skills, Working Conditions, Performance Indicators, Language Skills, Mathematical Skills, Analytical & Problem Solving Ability, then a paragraph about role importance, then "CERTIFICATES, LICENSES, REGISTRATIONS None", then "PHYSICAL DEMANDS", "WORK ENVIRONMENT", "TRAINING", then application instructions, EEO, etc. We need to decide which headings to use. We have: - About the role: summary paragraph. - Responsibilities: essential duties list. - Requirements: maybe Education And/or Experience (education/experience) plus Certificates, Licenses, Registrations (none) maybe not needed. Also maybe Working Conditions? But Working Conditions could be part of Requirements or Qualifications. However we have separate headings for Qualifications and Skills. - Qualifications: maybe the "Knowledge and Skills" section (strong understanding of DMEPOS billing, Medicare documentation standards, HCPCS coding, audit methodologies, revenue cycle processes, analytical skills, attention to detail, Excel proficiency, communication, Brightree experience). That seems like qualifications. - Skills: maybe the specific skills like Language Skills, Mathematical Skills, Analytical & Problem Solving Ability, plus maybe "Ability to communicate findings professionally and objectively" etc. But we already have communication in Knowledge and Skills. Could separate. But we need to avoid thin sections. Perhaps combine Knowledge and Skills and Skills into one Skills section? But we have both headings available; we could put Knowledge and Skills under Qualifications, and then Skills under Skills (like language, math, analytical). However we risk duplication. Better approach: Use: - About the role: summary. - Responsibilities: essential duties. - Requirements: Education And/or Experience (including experience, education) plus Certificates, Licenses, Registrations (none) maybe we can note none but that's filler? It says "None". That's not substantive? It's a statement that there are none. Might be considered filler? The instruction says do not emit a heading followed by filler/placeholder text like "N/A", "varies", "TBD". "None" could be considered placeholder? It's a definite answer but maybe still considered not substantive? It's a statement that there are no required certificates/licenses. Might be okay to include but maybe better to omit if it's just "None". The instruction: "never emit a heading followed by filler/placeholder text (e.g. 'commensurate with experience', 'not specified', 'N/A', 'varies', 'TBD')". "None" is similar to N/A. So better to omit that section. - Qualifications: Knowledge and Skills (the strong understanding list). - Skills: Language Skills, Mathematical Skills, Analytical & Problem Solving Ability (maybe also ability to communicate findings professionally and objectively, but that's already in Knowledge and Skills). Could also include "Ability to apply common sense understanding..." etc. - Benefits: "Hart Medical Equipment offers a competitive salary and benefits package." That's vague but it's a statement about benefits. It's not specific but it's something. The instruction says do not create Benefits section unless posting actually states them. It does state "competitive salary and benefits package." That's a statement but not specific. Is that considered filler? It's not "commensurate with experience" but it's vague. Might be okay to include as Benefits section with that sentence. - Pay: Not specified beyond competitive salary. No specific pay. So we should not create Pay section. - Schedule: Status: Full Time Location: Grand Blanc, MI. That's schedule info (Full Time). So we can create Schedule section with "Full Time". Location maybe not schedule but we could include location in About the role? But we have location given. Could include location in About the role or maybe separate? The instruction: do not put Job ID/requisition numbers as headings — fold minor metadata into a short

or drop it. Location is minor metadata; we could include in a short paragraph maybe under About the role or separate? But we have only headings list; we could include location in a paragraph under About the role or maybe under Schedule? Schedule is about full-time vs part-time. Location is not schedule. Could add a short paragraph after About the role? But we must only output HTML fragment; we can include

for prose anywhere. So we could have a

containing "Status: Full Time. Location: Grand Blanc, MI." That would be minor metadata. Thus sections: - About the role: summary paragraph (maybe also include location/status? but we can keep separate). - Responsibilities: essential duties list (maybe as

• ). - Requirements: Education And/or Experience (maybe also include "Professional, proactive and positive" etc). Could also include "To perform this job successfully, an individual must be professional, proactive and positive with internal and external customers and coworkers." That's a requirement. - Qualifications: Knowledge and Skills (the strong understanding list). - Skills: Language Skills, Mathematical Skills, Analytical & Problem Solving Ability (maybe also include "Ability to communicate findings professionally and objectively" but that's already in Knowledge and Skills; we can keep it there). - Benefits: "Hart Medical Equipment offers a competitive salary and benefits package." - Schedule: maybe not needed because we have location/status in a paragraph. But we could still create Schedule section with "Full Time". However we already have location/status in a paragraph; we could put schedule there. The instruction: Prefer a few substantive sections over many thin ones. So maybe we omit Schedule section and just include location/status in a paragraph. Thus we will have sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits. Now we need to extract content precisely, preserving all substantive information, not inventing or summarizing away detail. Let's extract each. About the role: The SUMMARY paragraph: "The Audit Specialist is responsible for conducting audits of billing, documentation, insurance claims, medical records, and regulatory compliance activities. This role ensures adherence to Medicare, Medicaid, commercial insurance, and accreditation requirements while identifying opportunities to improve reimbursement accuracy, reduce audit risk, and support operational excellence. The Audit Specialist works closely with billing, customer service, intake, clinical, and management teams to monitor compliance with payer guidelines, validate documentation requirements, and support corrective action plans." We could also include the introductory paragraph about Hart Medical Equipment? That's more about company, not role. The instruction: About the role section likely should contain role summary. Could also include company description? But we already have a paragraph about Hart Medical Equipment at start: "Hart Medical Equipment provides a full range of home care products and support services based on individual needs. We strive to conduct our patient care operation with the highest standards. We are a nationally accredited, premier provider of home medical equipment and supplies." That's company overview, not role. Might be considered About the role? Usually About the role includes company description? But we have separate headings; we could include that as part of About the role? The instruction: "use

  for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)". So About the role likely includes role summary and maybe company context. But we can decide to include the company overview as part of About the role. However we must not repeat the job title as a heading. The job title is Audit Specialist. Not needed. Thus About the role could contain: - Company description: "Hart Medical Equipment provides a full range of home care products and support services based on individual needs. We strive to conduct our patient care operation with the highest standards. We are a nationally accredited, premier provider of home medical equipment and supplies." - Role summary: the SUMMARY paragraph. - Maybe also status and location? We'll put those in a separate short paragraph. But we need to avoid duplication. Let's decide to put company description and role summary in About the role. Then a separate

  for status/location. Now Responsibilities: The essential duties list. We need to capture all duties as list items. The duties are grouped under headings: Compliance Auditing, Billing and Claims Auditing, Documentation Review, Regulatory Compliance, Reporting and Analysis, Education and Training. Also there is a line "Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions." That's a note; we could include as a paragraph before list. We should preserve all substantive information. So we can create a

  with
  • for each duty bullet. The original text includes sentences under each heading. We could either keep headings as part of list items or separate. Since we only allowed
    • for list, we can embed the heading text inside
    • . Eg:
    • Compliance Auditing: Perform routine and targeted audits of patient files, billing records, and supporting clinical documentation; Review documentation to ensure compliance with Medicare, Medicaid