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Compliance Billing Auditor
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$44,467.32 - $63,859.08 a year
Full-time
- You will perform comprehensive billing audits which cover all the areas of the medical billing life cycle starting from insurance verification processes, ICD and CPT Coding, claim submission process, payment posting process, follow up processes and denial management processes.
- ESSENTIAL DUTIES AND RESPONSIBILITIES: Conduct compliance coding reviews of medical records and supporting documentation against submitted claims, to determine coding and billing accuracy for medical, dental, mental health services, including telehealth and telemedicine services.
- Research and interpret FQHC and Medi-Cal specific coding and billing guidelines and internal policies and procedures to verify claims billing accuracy.
- College level courses in anatomy, physiology, and medical terminology.
- Background in medical billing, coding or auditing of insurance claims and medical records Demonstrated understanding of payer rules and regulations, including Medicare and Medicaid.
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