Billing and Coding Auditor

Banyan Treatment Center-posted 10 months ago
Full-time • Mid Level
Remote • Pompano Beach, FL
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Exciting Opportunity with Banyan Treatment Centers! We are seeking a Billing and Coding Auditor to play a pivotal role in ensuring the accuracy and compliance of billed claims related to substance abuse and mental health services. This role will be key in reviewing claims, identifying inaccuracies, and communicating discrepancies to the billing team, as well as assisting in training staff on billing practices and compliance standards. About Banyan Treatment Centers: Banyan Treatment Centers is a nationally recognized leader in addiction and mental health care, offering a comprehensive continuum of services with the esteemed Joint Commission Accreditation (Gold Seal of Approval). Since our founding, we have grown into a trusted provider with 18 locations and Telehealth services nationwide. In 2023, TPG's global impact investment through The Rise Fund enabled us to further expand our services. This partnership underscores our dedication to providing high-quality care and reinforces our financial stability. With over 1,600 dedicated employees, we are committed to making a meaningful impact on people's lives, delivering compassionate, quality care that extends from our internal operations to every patient interaction.

  • Review substance abuse and mental health service claims daily, ensuring compliance with coding standards and payor contracts.
  • Identify and communicate discrepancies, inaccuracies, or improper coding to the billing team and recommend corrective actions.
  • Assist in the development and delivery of staff training to improve understanding of proper billing practices and compliance standards.
  • Stay current on ICD-10, CPT, HCPCS codes specific to Behavioral Health and regulatory requirements.
  • Utilize Kipu and CollaborateMD to review and process claims accurately.
  • Monitor trends in billing errors and work with the billing team to improve practices and minimize claim denials.
  • Assist in the preparation of internal reports to track audit findings and outcomes.
  • Collaborate with the billing department to resolve coding issues and ensure accurate, timely claim submission.
  • A minimum of 4 years of medical claims billing and/or coding experience, preferably in a behavioral health setting.
  • Coding Certification and/or Billing Certification.
  • Strong knowledge of ICD-10, CPT, and HCPCS codes specific to Behavioral Health.
  • Proficiency in Kipu and CollaborateMD.
  • Certified Professional Coder (CPC) or similar certification is highly preferred.
  • Strong attention to detail and ability to work independently.
  • Bachelor's degree in Healthcare Administration, Business, or a related field.
  • Experience with behavioral health coding and billing regulations.
  • Knowledge of payer contracts and compliance standards in the behavioral health industry.
  • Familiarity with Medicaid, Medicare, and commercial insurance billing processes.
  • Medical, Vision, and Dental Insurance
  • Life Insurance (Whole and Term)
  • Short- and Long-term Disability Insurance
  • 401(k) with Employer Match
  • Paid Time Off
  • 7 Paid Holidays, including a floating holiday
  • Employee Assistance and Referral Programs
  • Wellness Initiatives
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