Medical Bill Auditor

About the role

The Medical Bill Auditor supports the AuditIQ Bill Review Service Operations team. This role is responsible for conducting line-level audits for a sub-set of medical bills processed by Bill Review Operations.

Responsibilities

• Conducts in-depth audits and reviews medical bills that meet escalated criteria from the bill review operations team.
• Audits medical bills for appropriate, necessary, and any applicable unrelated charges.
• Reviews payment recommendations against applicable fee schedule allowances, regulatory or administrative charges, coding, and identifies billing errors to determine if fraud or inaccurate billing.
• Performs bill review functions in compliance with established client-specific rules and workflows that may change from time to time as well as CompIQ internal processing standard operating procedures.
• Reviews provider appeals and state disputes to determine if additional monies are due to the provider.
• Aids in the development and implementation of new audit/review methodologies to identify overpayments and underpayments to providers.
• Applies knowledge of provider billing and patient accounting practices to the research of client policy and data to reveal new overpayment recovery opportunities.
• Develops, maintains, and ensures adherence to multiple project schedules.
• Achieves percent of savings expectations through their review billing.
• Ensures productivity goals are met daily.
• Communicates audit and review issues and results to supervisors and managers.
• Participates in planning, daily meetings, and backlog sessions.
• Performs other duties as assigned by supervisors and managers.
• Complies with all company guidelines, code of conduct, policies, and standards.

Requirements

• Associate or bachelor’s degree in nursing, medical coding, healthcare or related field preferred but not required.
• Certified Professional Coder (CPC) certification or another coding credential from AHIMA or AAPC is required *Note: We cannot accept a CPC-A certification
• 2+ years performing audits against medical records for correct coding
• Familiarity with the CompIQ Bill Review Platform preferred but not required

What We Offer

• Fair and Competitive Salary
• Flexible schedule in a hybrid or remote-work environment (depending on location)
• Paid Time Off
• Paid Parental Leave
• Tuition Reimbursement
• Identity Theft Protection
• Medical, Dental, and Vision Insurance
• Short-Term and Long-Term Disability
• Life Insurance with additional voluntary enrollment options
• Employee Assistance Programs including counseling with up to 6 complimentary sessions
• Monthly Wellness (Gym Membership) Stipend
• Health Spending Account (HSA) and Flexible Spending Account (FSA)
• 401(k) Plan with a 100% vested company match
• Career development and growth opportunities

How To Apply

Interested? Please apply directly via our website at: https://compiqsolutions.com/careers/