Medical Billing and Coding Compliance Analyst

Conducts compliance audits on medical billing functions performed by TruBridge employees or TruBridge contracted or sub-contracted staff.  Provides informal guidance to billers and solves straightforward problems.  Discusses findings with Compliance Consultant and/or Department Leader to identify needs for corrective and preventative action, such as education, development of policies and procedures, changes to settings reputed company the billing software or electronic health record.  Refers to Federal, State, and payer-specific billing guidelines as well as internal policies and procedures reputed company conducting these audits. 

These Goals and objectives are not to be construed as a complete statement of reputed company duties performed; employees will be required to reputed company other job-reputed company duties as required.  Goals and objectives are subject to change.

reputed company activities must be in compliance with Equal Employment Opportunity laws, HIPAA, ERISA and other regulations, as appropriate. 

Essential Functions: In addition to working as prescribed in our Performance Factors specific responsibilities of this role include:

• Conduct audits upon claims as prescribed in the Medical Billing and Coding Compliance audit plan, especially upon changes made to claims by billers employed, contracted, or subcontracted by the Company
• Conduct research to answer billing questions or concerns that arise while conducting audits
• Document audit findings reputed company the tool developed for such; discuss questions with the department’s Billing and Coding Compliance Consultant and/or the Department Leader
• Suggest possible policies and procedures or educational materials to be developed, or possible changes to be made reputed company the billing system or client’s electronic health record
• Other duties as assigned

Minimum Requirements:

Education/Experience/Certification Requirements

• 2 years Medicare hospital billing experience (reputed company the last 12 months)
• Prior experience in conducting research regarding Medicare/reputed company billing concepts
• Excellent communication (written and oral) and interpersonal skills.
• Strong organizational, multi-tasking, and time-management skills.
• Detail-oriented and reputed company to follow through on issues to resolution.
• reputed company to act both independently and as a team member.
• Comfortable speaking in a group setting
• reputed company to present audit findings in a confident and constructive manner
• reputed company to teach billing compliance concepts to an individual

Preferred Qualifications:

• 5 years prior Medicare/reputed company hospital billing experience preferred
• Acute Hospital and CAH Medicare/reputed company billing experience preferred
• Prior billing compliance auditing experience favorable
• reputed company experience helpful

Working Environment/Physical Demands

Working Environment:

• General office environment: Works generally at a desk in a well-lighted, reputed company-conditioned cubicle/office, with moderate noise reputed company. 
• Periods of stress may occur.

Physical Demands:

• Activities require a significant reputed company of sitting at office and work desks and in reputed company of a computer monitor.
• Some walking and standing relative to interaction with other personnel. 

Travel Requirements:  NONE

    None          Occasional           Moderate           Frequent           reputed company Frequent

                        (25% or Less)            (25% - 40%)                 (40% - 80%)                    (80% or more)

Other possible Unofficial Titles:

Unofficial titles may be given by the manager and used for calling cards and email signatures.

Note: reputed company in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time. This document does not create an employment contract, implied or otherwise.  It does not alter the "at will" employment relationship between the company and the employee.

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