Itemized Bill Review Auditor III (IBR)
About The Position
Itemized Bill Review Auditor conducts hospital charge audits on claims paid at percent of billed charges to verify charges are appropriate and supported by documentation in the medical record. Charge audits identify overcharges, undercharges and unbundled items per carrier contract, industry standards and payer reimbursement policies. Hospital Bill Audit knowledge is required with regard to Unbundling Guidelines specific to payer policy, industry standards and Medicare Guidelines. The nurse will also be responsible for independent scheduling requiring flexibility and possible travel to provider location. The position requires strong clinical experience and technical skills.
Requirements
- Hospital Bill Audit knowledge is required with regard to Unbundling Guidelines specific to payer policy, industry standards and Medicare Guidelines.
- Strong clinical experience
- Technical skills
Responsibilities
- Conducts hospital charge audits on claims paid at percent of billed charges to verify charges are appropriate and supported by documentation in the medical record.
- Identifies overcharges, undercharges and unbundled items per carrier contract, industry standards and payer reimbursement policies.
- Responsible for independent scheduling requiring flexibility and possible travel to provider location.
Benefits
- For more information on benefits and what we offer please visit us at https://www.exlservice.com/us-careers-and-benefits
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
