Billing QA & Compliance Specialist

System Support; Moraine (OH); On-site; USD 40,000 - 60,000; Full time

Job summary

System Support in Moraine, OH seeks a billing and coding specialist within Patient Financial Services to review inpatient and outpatient accounts for billing and coding compliance, monitor billing quality, and verify documentation supports charges. This role also manages follow-up on outstanding accounts and develops understanding of reimbursement processes.

The ideal candidate has 3–5 years of revenue cycle experience, strong knowledge of Medicare regulations related to charging and

Qualifications

• Minimum Education: High School completion / GED
• 3–5 years of job related experience
• Proficient with Microsoft Office applications

Responsibilities

• Review Inpatient and Outpatient accounts for billing and coding compliance.
• Monitor quality of billing and review documentation to validate billing information.
• Follow up on outstanding assigned accounts in billing and follow up work queues.
• Understand reimbursement aspects of the revenue cycle and ensure appropriate reimbursement for charges billed.
• Understand governmental rules and regulations regarding chargeable versus payable and compliance claims.

Skills

Microsoft Office

Education

High School Diploma or Associate degree

Job description

System Support in Moraine, OH seeks a billing and coding specialist within Patient Financial Services to review inpatient and outpatient accounts for billing and coding compliance, monitor billing quality, and verify documentation supports charges. This role also manages follow-up on outstanding accounts and develops understanding of reimbursement processes.

The ideal candidate has 3–5 years of revenue cycle experience, strong knowledge of Medicare regulations related to charging and