Missouri Licensed Audit Specialist

BJC HealthCare; United States; On-site; USD 60,000 - 80,000; Full time

Job summary

A healthcare organization is seeking an Audit Compliance Specialist to manage pay audit requests and ensure accurate payments. The role includes detailed compliance audits, documentation of billing exceptions, and problem identification in billing and patient care documentation. Candidates should have an Associate's Degree and 2-5 years of relevant experience. Preferred certifications are RN, CCS, RHIA, or RHIT.

Qualifications

• 2-5 years of relevant experience in compliance and billing audits.
• Preferred certifications: RN, CCS, RHIA, or RHIT.

Responsibilities

• Perform detailed compliance and insurance billing audits.
• Prepare audit work papers for billing exceptions.
• Identify problems in billing and patient care documentation.

Skills

Billing audit expertise

Attention to detail

Problem identification

Education

Associate's Degree

Job description

A company is looking for an Audit Compliance Specialist responsible for managing pay audit requests and ensuring accurate payments.

Key Responsibilities

• Performs detailed compliance, process, and insurance billing audits
• Prepares audit work papers to document billing exceptions
• Identifies problems in billing and patient care documentation

Required Qualifications

• Associate's Degree
• 2-5 years of relevant experience
• No supervisory experience required
• Preferred certifications include RN, CCS, RHIA, or RHIT