Robert Half is currently seeking a Physician Billing and Coding Auditor for a company located in central Phoenix. This job is responsible for ensuring that all appropriate billing charges are being captured, documented, charged and reimbursed for the assigned department in accordance with policies and procedures, and applicable regulatory standards and requirements. Plans, conducts and evaluates reviews and audits of clinical documentation and billing practices for conformity with applicable regulatory requirements. Identifies proactive opportunities to strengthen charge capture processes, enhance regulatory compliance and facilitate appropriate revenue capture. Responds to third-party audits as well as charge recovery vendor solution audits. Provide training and education to clinical/charging staff & management on appropriate documentation and charge capture processes.
Please send resumes to Alyssa Perry at [email protected]
Knowledge of audit principles and guidelines.
Knowledge of the accepted principles, practices and tools relating to general healthcare billing, cost accounting and reimbursement.
Knowledge of policies, standards and methodologies pertaining to charge capture and reconciliation, reporting, documentation and general compliance.
Knowledge of CPT/HCPCS codes.
Knowledge of the content and application of published health information management coding conventions, e.g., as referenced in Coding Clinics and/or other nationally recognized coding guidelines. Ability to recognize, research and correct charging/documentation discrepancies.
Knowledge of the standards and regulatory requirements applicable to matters within designated scope of authority, including medical/legal issues.
Working knowledge of medical terminology and abbreviations, and health care nomenclature and systems.
Ability to establish and maintain effective working relationships as required by the duties of the position.
Strong communication skills.
5 years recent directly related work experience in a healthcare environment
Job Reference #:
$26.00 to $31.00/hour
$26 - $31/hr
Recruiter and Available Location Information
-, Phoenix, AZ 85001
Website : http://www.roberthalf.nl/
Founded in 1948, Robert Half International Inc. (NYSE symbol: RHI) is the world's first and largest specialised staffing firm. RHI is a recognised leader in professional staffing and consulting services, and is the parent company of Protiviti®, a leading independent internal audit and business and technology and risk consulting firm.