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2 days ago
The Auditor Specialist for Revenue Cycle Management (RCM) plays a critical role in ensuring the accuracy and integrity of our medical billing and credentialing processes.
Key Responsibilities:
- Audit Planning and Execution: Develop and implement comprehensive audit plans for medical billing and credentialing processes to ensure compliance with industry standards and company policies.
- Compliance and Regulatory Adherence: Stay updated on changes in healthcare laws and ensure the team is compliant with relevant regulations.
- Consulting and Mentorship: Serve as a role model and mentor to less experienced personnel on professional standards of performance.
- Performance Analysis and Reporting: Analyze audit findings to identify trends, issues, and areas for improvement in the RCM process.
- Follow-up and Remediation: Follow up on past audit findings to ensure timely and adequate remediation.
Required Skills and Qualifications:
Candidates should have a strong understanding of the revenue cycle management process, with at least 5 years of experience in medical billing, credentialing, and RCM auditing.
Desirable skills include knowledge of ISO standards, advanced knowledge of Quality Methods, Risk Management, and proficiency in billing and auditing software tools.
Benefits:
We offer a competitive salary package, including paid leaves, HR bonus, loan policy, advance salary, yearly loyalty rewards, performance-based bonuses, leave encashment, inflation bonus, promotion, increments, and more.
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