Billing and Coding Auditor
About The Position
Banyan Treatment Centers is seeking a detail-oriented and experienced Billing and Coding Auditor to support the accuracy and compliance of our billing practices across our behavioral health services. This critical role ensures the integrity of our claims processes and supports continuous quality improvement, staff education, and adherence to payer regulations. As a nationally recognized provider of addiction and mental health care accredited by The Joint Commission—with 18 locations, robust Telehealth services, and backed by TPG’s Rise Fund since 2023—our 1,600+ employees are dedicated to delivering compassionate, highâquality care that transforms lives. Positions Details Location: Flexible |On-site (Pompano Beach, FL), Hybrid or Remote (USA) Reports to: Auditing Manager & Director of RCM Schedule: Full-time
Requirements
- Bachelor’s degree in Healthcare Administration, Business, or a related field—or equivalent work experience.
- Minimum of 4 years of experience in medical claims billing and/or coding, preferably in behavioral healthcare.
- Current certification in Medical Billing and/or Coding.
- Proficiency in Kipu and CollaborateMD required.
- Strong attention to detail and ability to analyze complex claims data.
- Familiarity with EHR systems and Microsoft Office Suite (especially Excel).
- Strong communication, time management, and organizational skills.
- Working knowledge of behavioral health billing practices, insurance reimbursement processes, and compliance standards.
Nice To Haves
- Familiarity with Joint Commission standards.
- Familiarity with Medicare, Medicaid, and commercial payer policies related to behavioral health.
- Experience training or mentoring others in billing/coding practices.
Responsibilities
- Conduct regular audits of behavioral health billing and claims for accuracy and compliance.
- Review coding of all services (ICD-10, CPT, HCPCS) to ensure alignment with industry standards and payer contracts.
- Identify discrepancies, potential fraud, and coding errors; recommend corrective actions.
- Collaborate with the billing department to resolve issues and support timely claims submission.
- Communicate audit findings and provide training to improve staff coding accuracy.
- Support the preparation of internal audit reports and QA initiatives.
- Monitor billing trends and recommend improvements in processes and staff performance.
- Ensure compliance with state, federal, and Joint Commission regulations.
- Stay up to date with changes in payer rules, billing codes, and regulatory updates.
- Maintain documentation and patient confidentiality in accordance with all legal standards.
Benefits
- Medical, dental, and vision insurance
- life and disability coverage
- 401(k) with employer match
- paid time off and holidays
- wellness programs
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
