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CompIQ Solutions

CompIQ continues to be the most compliant and agile workers compensation bill review platform in the market.

Medical Bill Auditor

AuditorAuditorFull TimeRemoteMid LevelTeam 51-200Since 2003H1B No SponsorCompany SiteLinkedIn

Location

Ohio

Posted

1 day ago

Salary

0

Seniority

Mid Level

High School2 yrs expEnglish

Job Description

Medical Bill Auditor

CompIQ Solutions

• Conducts in-depth audits and reviews medical bills that meet escalated criteria from the bill review operations team • Audits medical bills for appropriate, necessary, and any applicable unrelated charges • Reviews payment recommendations against applicable fee schedule allowances, regulatory or administrative charges, coding, and identifies billing errors to determine if fraud or inaccurate billing • Performs bill review functions in compliance with established client-specific rules and workflows that may change from time to time as well as CompIQ internal processing standard operating procedures • Reviews provider appeals and state disputes to determine if additional monies are due to the provider • Assists in the development and implementation of new audit/review methodologies to identify overpayments and underpayments to providers • Applies knowledge of provider billing and patient accounting practices to the research of client policy and data to reveal new overpayment recovery opportunities • Develops, maintains, and ensures adherence to multiple project schedules • Achieves percent of savings expectations through their review billing • Ensures productivity goals are met daily • Communicates audit and review issues and results to supervisors and managers • Participates in planning, daily meetings, and backlog sessions • Performs other duties as assigned by supervisors and managers • Complies with all company guidelines, code of conduct, policies, and standards

Job Requirements

  • High School Diploma or equivalent
  • Associate or bachelor’s degree in nursing, medical coding, healthcare or related field preferred but not required
  • Certified Professional Coder (CPC) certification or another coding credential from AHIMA or AAPC is required
  • 2+ years performing audits against medical records for correct coding
  • Familiarity with the CompIQ Bill Review Platform preferred but not required
  • Workers’ Compensation experience preferred

Benefits

  • Fair and Competitive Salary
  • Flexible schedule in a hybrid or remote-work environment (depending on location)
  • Flexible Paid Time Off
  • Paid Parental Leave
  • Tuition Reimbursement
  • Identity Theft Protection
  • Medical, Dental, and Vision Insurance
  • 100% Company-paid Short-Term and Long-Term Disability
  • 100% Company-paid Life Insurance with additional voluntary enrollment options
  • Employee Assistance Programs including counseling with up to 6 complimentary sessions
  • Monthly Wellness (Gym Membership) Stipend
  • Health Spending Account (HSA) and Flexible Spending Account (FSA) Programs
  • 401(k) Plan with a 100% vested company match
  • Career development and growth opportunities

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