Medical Bill Auditor

Job not on LinkedIn

🔥 0 minutes ago

🏈 Ohio – Remote

🏈 Ohio – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🔎 Auditor

🚫👨‍🎓 No degree required

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

CompIQ Solutions

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2003

⚕️ Healthcare Insurance

☁️ SaaS

💸 Finance

Healthcare Insurance • SaaS • Finance

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

• 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

🎯 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