Medical Billing, Quality Assurance

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🔥 52 minutes ago

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Sarnova

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2008

🏥 Healthcare

🤝 B2B

☁️ SaaS

💰 $500k Venture Round - Sarnova on 2009-12

Healthcare • B2B • SaaS

Sarnova is a healthcare-focused distribution and services company whose family of businesses (including Bound Tree Medical, Tri-anim Health Services, Cardio Partners, and Digitech) supplies products, equipment, services and technology across the emergency medical services (EMS) and acute care continuum. For nearly 50 years the group has distributed more than 100,000 health and safety products to EMS providers, hospitals, schools, businesses and government agencies, and also provides respiratory/anesthesia/critical care solutions, AED sales and program management, CPR training, and a cloud-based EMS billing and business intelligence platform. Sarnova is a portfolio company of Patricia Industries/Investor AB.

📋 Description

• Perform detailed quality reviews of all Medicare/Medicaid claims after coding and before submission to ensure accuracy, compliance, and completeness • Examine patient care reports (PCRs) to confirm documentation supports the billed level of service and adheres to payer rules and medical necessity standards • Validate coding selections, including level of service assignments, mileage accuracy, and required clinical indicators • Ensure documentation compliance with federal, state, and payer regulations, including signature requirements, narratives, interventions, and supporting details • Verify claim readiness by ensuring all required documentation and attachments are present prior to releasing the claim • Identify discrepancies or errors and take action to correct, escalate, or return claims to coders for further review • Maintain high-volume throughput while consistently meeting accuracy and productivity expectations. • Collaborate with Coding, Billing, QA leadership, and other internal teams to resolve questions or clarify documentation issues • Support continuous quality improvement by identifying trends, gaps, or training opportunities. • Additional job duties as assigned

🎯 Requirements

• High School Diploma or equivalent • Clinical or medical background strongly preferred: LPN, RN, EMT, Paramedic, LNA, Medical Aide, or equivalent experience • Strong understanding of medical terminology, EMS clinical documentation, and healthcare billing standards • Ability to navigate and work efficiently across multiple computer programs simultaneously • Must have reliable home internet with speeds of 15 Mbps or higher • Must successfully complete a basic computer skills assessment prior to interview; typing test for speed and accuracy may also be required • Excellent attention to detail, accuracy, and documentation review skills • Strong time-management skills with the ability to meet tight deadlines and maintain high productivity • Ability to remain focused, organized, and productive in a remote, independent work environment • Strong communication skills, both written and verbal, with professionalism and excellent judgment. • Dependable, punctual, and comfortable asking questions or seeking clarification when needed • Ability to remain calm and effective in a fast-paced, time-sensitive workload environment • Ability to independently manage all aspects of the job role including required goals and business practices in a remote environment

🏖️ Benefits

• Competitive salary, commensurate with experience • Comprehensive benefits package • 401(k) Plan • Equal Opportunity Employer