Clinical Claims Auditor

Clinical Revenue ManagementWe are seeking an experienced and skilled Medical Billing Specialist to join our team as a Clinical Revenue Manager. The ideal candidate will have a minimum of 3+ years of experience in the medical billing industry and a strong understanding of major billing software.About the RoleThis position involves managing and processing...

Job DetailsWe are seeking a detail-oriented Medical Records Auditor to join our team.This role involves conducting audits of clinical documentation online, assigning ICD-10 codes to new patients, and communicating with US-based clinicians to discuss patient condition and documentation improvements.The ideal candidate will have excellent organizational and...

Job OverviewThe Clinical Revenue Manager is responsible for overseeing the revenue cycle process within our organization. This includes managing medical claims, appeals, and payments to ensure timely and accurate reimbursement. Key responsibilities include:Revenue Cycle Analysis: Analyzing and optimizing the revenue cycle process to improve efficiency and...

The Role of an Auditor Specialist in RCM is multifaceted, encompassing auditing processes within medical billing and credentialing functions. Key Responsibilities include conducting detailed audits to ensure compliance with regulations, identifying areas for improvement, and implementing corrective actions to optimize revenue cycle performance.**Key Areas of...

Key ResponsibilitiesThe Insurance Claims Analyst plays a critical role in reviewing and processing medical claims. Key responsibilities include:Claim Review: Conducting thorough reviews of medical claims to ensure accuracy and completeness.Determination of Reimbursement: Determining the amount of reimbursement due to our organization based on submitted...

Job SummaryAuditor Specialist for Revenue Cycle Management (RCM) is responsible for overseeing auditing processes within medical billing and credentialing functions.The ideal candidate will possess a strong background in healthcare administration, with experience in medical billing, credentialing, and RCM auditing. Key responsibilities include audit planning...

The Auditor Specialist for Revenue Cycle Management (RCM) is responsible for overseeing the auditing processes within the medical billing and credentialing functions. The role involves conducting detailed audits, ensuring compliance with regulations, identifying areas for improvement, and implementing corrective actions to optimize revenue cycle performance....

Qualifications and RequirementsPharm-D or a degree in Medical Sciences (preferred).High school diploma or equivalent (required); an associate degree in Health Information Management or related field (preferred).Certification in Medical Coding (e.g., CPC, CCS, CCA) from AAPC or AHIMA (required).Minimum 1-3 years of experience in medical coding in a healthcare...

This position involves overseeing the auditing processes within the revenue cycle management function. The ideal candidate will have a strong background in medical billing and credentialing processes, as well as experience in auditing and quality management.**Responsibilities Include:**Developing and implementing comprehensive audit plans for medical billing...

Work DescriptionThe Medical Billing Specialist will work closely with our team to manage day-to-day tasks associated with medical billing.Key Tasks and ResponsibilitiesProcess medical claims and verify insurance coverageResolve billing issues and communicate with patients and insurance companiesWork collaboratively with our team to achieve billing...