Healthcare Billing Quality Auditor

Christian Healthcare Ministries; Barberton (OH); On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

Fully Paid Health Benefit

Retirement and Life insurance

12 Paid Holidays PLUS Birthday

Lunch is provided and paid from DAILY.

Professional Development

Job summary

Christian Healthcare Ministries in Barberton, Ohio is seeking a Medical Bill Examiner to audit itemized bills for accuracy, verify services rendered, and assign personal responsibility amounts in line with CHM Guidelines. The role requires reviewing documentation, ensuring HIPAA compliance, identifying duplicates and ineligible charges, and escalating issues to appropriate departments.

You will support policy implementation, aim to maintain an error rate at or below 1%, and contribute to quality

Qualifications

• High school diploma or equivalent required.
• Medical background preferred to support understanding of medical bills.
• Strong analytical and research skills with high attention to accuracy.
• Excellent written and verbal communication skills.
• Strong organizational and multitasking abilities.

Responsibilities

• Audit itemized bills for accuracy (e.g., patient name, benefit code, place of service, incurred date, total charges).
• Review documentation to ensure services rendered and clinical complexity are accurate and complete.
• Confirm member eligibility and verify monthly contributions and required documentation.
• Identify duplicate bills and ineligible charges.
• Process applicable medical discounts.
• Escalate or de-escalate bills to appropriate departments for further review.
• Assign yearly personal responsibility based on membership level and incident qualifying amount.
• Identify opportunities to improve quality and productivity.
• Support implementation of policies and procedures aligned with CHM Guidelines.
• Maintain an error rate of 1% or less.
• Perform other duties as assigned.

Skills

Analytical thinking

Communication and collaboration

Problem-solving

Education

High school diploma or equivalent

Medical background preferred

Tools

Microsoft Office

Job description

Christian Healthcare Ministries in Barberton, Ohio is seeking a Medical Bill Examiner to audit itemized bills for accuracy, verify services rendered, and assign personal responsibility amounts in line with CHM Guidelines. The role requires reviewing documentation, ensuring HIPAA compliance, identifying duplicates and ineligible charges, and escalating issues to appropriate departments.

You will support policy implementation, aim to maintain an error rate at or below 1%, and contribute to quality