A company is looking for a Payment Integrity Associate - Itemized Bill Review.
Key Responsibilities
Perform line-by-line review of high-dollar facility itemized bills and corresponding claim forms
Proactively identify and document potential billing errors and validate the accuracy of codes used for services billed
Serve as a subject matter expert for internal and external stakeholders regarding complex billing issues and provide training when necessary
Required Qualifications
A bachelor's degree or 4+ years of commensurate experience
2+ years of bill / coding audit experience focused on hospital or facility billing (UB-04)
4+ years experience in medical coding
Medical coding certification through AAPC or AHIMA
Experience with reimbursement methodologies and common claims processing practices
Medical Coding • Carrollton, Texas, United States