AUDITOR (MEDICAL)

AUDITOR (MEDICAL) - LONG ISLAND, NY LOCATION: 80 Marcus Drive Melville, New York 11747 Growing Healthcare Receivable Management Company seeks a detail-oriented full-time Auditor/Analyst with a medical background in medical/hospital billing and coding to Analyze and follow up on patient accounts. Experience with Health Insurances is preferred. Summary of Responsibilities: Follow up and analysis on hospital patient accounts, including follow up with third party payers Responsibilities: Review/Analyze Physician/Outpatient/Inpatient accounts to determine issue causing denial or delay of payment. Review denials related to ICD-10 and CPT code denials Review medical necessity denials due to lack of documentation/insufficient coding. Submit written claim/payment disputes as necessary. Prepare and submit appeals for authorization denials/administrative denials as necessary. Follow up on status for Outpatient/Physician claims and/or denials. Communicate with other departments in order to have accounts reviewed and obtain additional information needed to dispute claims issues as needed. Requirements High School Diploma or GED, required BacheBachelor'see, preferred. Coding certification preferred. (AHIMA or AAPC) Minimum 5 years in a healthcare setting Computer literate Proficient in EPIC application, preferred SALARY: $55,000 - $69,000 DOE

Created: 2024-11-05