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Billing Compliance Auditor III
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Full-time
- The Boston Children's Hospital Billing Compliance Department is a dynamic team of certified coders, nurses and a data analyst whose primary responsibility is to identify and mitigate billing risk for the Hospital and the BCH Physicians' Organization.
- Follow established protocols selects and reviews a percentage of records to assess coding documentation, billing and/or reimbursement practices for professional billing documentation compliance with all regulations of federal and state agencies and third party payers and hospital policy.
- In conjunction with appropriate personnel, investigate, evaluate and identify opportunities for improvement and recognizes their relative significance in the overall system and provide guidance to departments regarding internal controls.
- Develop and maintain professional skills and knowledge through attendance at relevant conferences, seminars and other educational programs, participation in professional organizations and review of current literature.
- High School Diploma/GED is required; An Associates or Bachelor's degree is preferred in Health Information Management or Nursing
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