Clinical Billing & Edits Coordinator

Tenet Healthcare; Atlanta (GA); On-site; USD 56,481 - 86,788; Full time

Benefits offered by this job

Health & dental plans

Tuition assistance

Relocation assistance

401(k) plan

Employee stock purchase plan

EAP

Paid time off

Flexible spending accounts

Life insurance

Job summary

Tenet Healthcare is seeking an experienced Medical Billing Auditor to coordinate and resolve bill hold edits across patient accounts in Atlanta, GA. You will monitor reports and systems (APC/CARDS, QS, A130, A131, Cerner suspended charges) to ensure clean claims are billed to payers and collaborate with charging department directors on CDM changes.

The ideal candidate has an RN or LPN license, a BS in Hospital Services or related field, and prior medical auditing experience, with strong written

Qualifications

• Must have RN or LPN license.
• BS in Hospital Services or related field required.
• Experience as a Medical Auditor.

Responsibilities

• Coordinate and resolve bill hold edits on patient accounts.
• Daily monitor reports and systems (APC/CARDS, QS, A130, A131, Cerner suspended charges).
• Ensure edits are cleared and claims are billed correctly.
• Coordinate with charging department directors for CDM changes.
• Participate in the Medical Billing Audit Committee.

Skills

Communication

English proficiency

Clinical experience

10-key

CRT experience

Education

RN or LPN license

BS in Hospital Services or related field

Tools

Cerner

APC/CARDS

QS

Job description

Tenet Healthcare is seeking an experienced Medical Billing Auditor to coordinate and resolve bill hold edits across patient accounts in Atlanta, GA. You will monitor reports and systems (APC/CARDS, QS, A130, A131, Cerner suspended charges) to ensure clean claims are billed to payers and collaborate with charging department directors on CDM changes.

The ideal candidate has an RN or LPN license, a BS in Hospital Services or related field, and prior medical auditing experience, with strong written