Careers
Quality Auditing Specialist
Location: Chatsworth, CAStatus: Full-time
Salary: Commensurate with experience
Job Description:
General Summary: Responsible for managing client’s documentation received, reviewing, batching and distributing. Make sure batches are verified for accuracy and completeness prior to forwarding to Data Processing Department. Make sure documentation is made on client shortfalls and provide physician feedback.
Principal Duties and Responsibilities:
1. Researches all information needed to prepare for billing process including getting charge information from client, proper documentation and verifications from insurance companies.
2. Processes and distributes copies of billings according to client policies.
3. Assists with coding and error resolution. Communicates with coding department to ensure batches are processed promptly and efficiently.
4. Documents incomplete information in client’s charge tickets.
5. Communicates with client as necessary.
6. Manages all batches received from clients and logs them into logging system.
7. Assists Billing Department with charge posting as well as addition of insurance/attorneys to data base.
8. Manages return documentation to client and ensures completeness
9. Participates in educational activities.
10. Maintains strictest confidentiality.
11. Other duties as assigned.
Knowledge / Skills:
1. Strong knowledge of billing practices.
2. Strong knowledge of coding practices.
3. Skills in computer programs, spreadsheets and applications.
4. Ability to examine documents for accuracy and completeness.
5. Ability to understand and interpret policies and regulations.
Education / Experience:
1. High school diploma or GED.
2. Three (3) year medical billing experience.
3. Coding Certification preferred
