Auditor RI

About the role

Performs internal audits of hospital accounts; processes routine insurance audits; audits accounts as requested by patients; performs audits of accounts to separate medical charges from elective cosmetic surgery procedures; manual charge entry/credit for Pharmacy discrepancies; charge correction and billing requirements for Medical Oncology accounts, provide written appeals for RAC and non-RAC denials.

Responsibilities

• Performs internal audits of hospital accounts
• Processes routine insurance audits
• Audits accounts as requested by patients
• Audits accounts to separate medical charges from elective cosmetic surgery procedures
• Manual charge entry/credit for Pharmacy discrepancies
• Charge correction and billing requirements for Medical Oncology accounts
• Provide written appeals for RAC and non-RAC denials

Requirements

• High school diploma or GED
• Alabama nursing license (RN or LPN) preferred
• Prior clinical or coding experience will be considered in lieu of nursing license
• Minimum of 3 years experience in hospital clinical setting, Patient Accounting, Chargemaster, coding, compliance or related field
• Proficient in use of Microsoft Word and Microsoft Excel
• Able to work in fast paced environment, requiring prioritizing and changing tasks frequently
• Effective communication skills with internal hospital departments, customers, and other external resources

Qualifications

• Education: High school diploma or GED

Skills

• Microsoft Word
• Microsoft Excel
• Effective communication skills
• Fast-paced environment adaptability

Benefits

Includes medical, dental, vision, life insurance, flexible spending; short term and long term disability; several retirement account options with 401K organization match; nurse residency program; tuition assistance; student loan reimbursement; On-site training and education opportunities; Employee Discounts to phone providers, local restaurants, tickets to shows, apartment application and much more!

Pay

Negotiable based on experience and qualifications

Schedule

Varies based on department needs