Medical Billing Compliance Auditor

NorthStar Anesthesia•Irving, TX

17d

About The Position

Under general supervision, ensures that compliance initiatives are met for all the NorthStar client si tes. T he Medical Billing Compliance Auditor is responsible for investigating potential compliance issues linked to clinical and billing activities. This person will support the compliance team by performing quality, internal audits and monitoring essential services in compliance with federal and state laws and regulations .

Requirements

1 to 3 years applicable compliance experience , in h ealthcare industry preferred .
CPC certification
4 years of healthcare billing and coding experience preferred.
Excel and Power Point knowledge preferred
Qualifications

Responsibilities

Coordinates with Compliance Director and Chief Compliance Officer on any billing compliance investigations.
Reviews and audits documentation in the medical records and charges submitted including CPT and ICD-10 information to ensure compliance.
Reviews charge information, claim forms, and insurance correspondence to determine if coding, billing, claim follow-up, payment receipts, posting activities, and credit processing are being performed in an accurate and timely manner and is supported by documentation.
Analyzes billing trends to identify areas of non-compliance and prepares regular reports on audit findings to Compliance Director .
Collaborates with the Compliance Team to develop annual audit work plans.
Educates providers when deficiencies in documentation and code selection are identified .
Develops corrective action plans and participates in compliance investigations as needed.
Promote NorthStar Anesthesia’s Core Values .
Demonstrates regular, reliable and predictable attendance.
Performs other duties as .