Medical Bill Auditor

🕒 July 14

🏈 Ohio – Remote

🏈 Ohio – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🔎 Auditor

👻 Ghost score 39%

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CompIQ Solutions

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2003

🏥 Healthcare

🛡️ Insurance

💼 Consulting

Healthcare • Insurance • Consulting

CompIQ Solutions is a leader in the medical billing industry, providing a comprehensive suite of software and services designed to streamline and improve the medical bill review process. Their primary focus is on offering medical bill review software tailored for the casualty insurance market, enabling regulatory compliance, cost efficiency, and integration with existing platforms. In addition to their core software, CompIQ Solutions offers ancillary services including document management, PPO services, out-of-network negotiation, outsourced bill review, and a comprehensive examiner toolbox to optimize medical billing workflows. Clients benefit from the combination of advanced technology and expert support, delivering network and claims cost savings effectively. With robust integration capabilities, payment services, and a strong emphasis on client success, CompIQ Solutions stands out as a trusted partner in the medical billing sector.

📋 Description

• Support the AuditIQ Bill Review Service Operations team • Conduct line-level audits for a subset of medical bills processed by Bill Review Operations • Conduct in-depth audits and reviews of medical bills meeting escalated criteria • Audit bills for appropriate, necessary, and applicable unrelated charges • Review payment recommendations against fee schedule allowances, regulatory or administrative charges, and coding guidelines • Identify billing errors, potential fraud, or inaccurate billing • Perform bill review functions according to client-specific rules, workflows, and CompIQ standard operating procedures • Review provider appeals and state disputes to determine whether additional payments are due • Assist in developing and implementing audit and review methodologies to identify provider overpayments and underpayments • Apply provider billing and patient accounting knowledge to research client policy and data and identify overpayment recovery opportunities • Develop, maintain, and ensure adherence to multiple project schedules • Achieve savings expectations through billing review • Meet daily productivity goals • Communicate audit and review issues and results to supervisors and managers • Participate in planning, daily meetings, and backlog sessions • Perform other duties assigned by supervisors and managers • Comply with company guidelines, code of conduct, policies, and standards

🎯 Requirements

• 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 • CPC-A certification is not accepted • 2+ years performing audits against medical records for correct coding • Familiarity with the CompIQ Bill Review Platform preferred but not required

🏖️ 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