Auditor RI

Huntsville Hospital Health SystemMadison, AL
Onsite

About The Position

Performs internal audits of hospital accounts; processes routine insurance audits; audits accounts as requested by patients; performs audits of accounts to separate medical charges from elective cosmetic surgery procedures; manual charge entry/credit for Pharmacy discrepancies; charge correction and billing requirements for Medical Oncology accounts, provide written appeals for RAC and non-RAC denials.

Requirements

  • High school diploma or GED required
  • Minimum of 3 years experience in hospital clinical setting, Patient Accounting, Chargemaster, coding, compliance or related field
  • Proficient in use of Microsoft Word and Microsoft Excel
  • Able to work in fast paced environment, requiring prioritizing and changing tasks frequently
  • Effective communication skills with internal hospital departments, customers, and other external resources

Nice To Haves

  • Alabama nursing license (RN or LPN) preferred
  • Prior clinical or coding experience will be considered in lieu of nursing license

Responsibilities

  • Performs internal audits of hospital accounts
  • Processes routine insurance audits
  • Audits accounts as requested by patients
  • Performs audits of accounts to separate medical charges from elective cosmetic surgery procedures
  • Manual charge entry/credit for Pharmacy discrepancies
  • Charge correction and billing requirements for Medical Oncology accounts
  • Provide written appeals for RAC and non-RAC denials

Benefits

  • medical
  • dental
  • vision
  • life insurance
  • flexible spending
  • short term and long term disability
  • several retirement account options with 401K organization match
  • nurse residency program
  • tuition assistance
  • student loan reimbursement
  • On-site training and education opportunities
  • Employee Discounts to phone providers, local restaurants, tickets to shows, apartment application
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