Medical Billing and Coding Compliance Analyst

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🕒 April 16

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TruBridge

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

⚕️ Healthcare Insurance

☁️ SaaS

💸 Finance

Healthcare Insurance • SaaS • Finance

TruBridge is a healthcare solutions company specializing in revenue cycle management, electronic health records, patient access and engagement, and enterprise resource planning for healthcare providers. The company offers comprehensive, customizable services to hospitals, clinics, and ambulatory care facilities, aiming to improve financial health and operational efficiency. TruBridge's solutions include coding technology services, population health and data management, and outsourced revenue cycle management services. Their focus on data-driven insights and innovative products helps eliminate financial and operational obstacles, laying a foundation for long-term success in the healthcare industry.

📋 Description

• Conduct compliance audits on medical billing functions performed by TruBridge employees or TruBridge contracted or sub-contracted staff. • Provides informal guidance to billers and solves straightforward problems. • Discusses findings with Compliance Consultant and/or Department Leader to identify needs for corrective and preventative action. • Refers to Federal, State, and payer-specific billing guidelines as well as internal policies and procedures when conducting these audits. • Conduct audits upon claims as prescribed in the Medical Billing and Coding Compliance audit plan. • Document audit findings within the tool developed for such; discuss questions with the department’s Billing and Coding Compliance Consultant and/or the Department Leader. • Suggest possible policies and procedures or educational materials to be developed, or possible changes to be made.

🎯 Requirements

• 2 years Medicare hospital billing experience (within the last 12 months) • Prior experience in conducting research regarding Medicare/Medicaid billing concepts • Excellent communication (written and oral) and interpersonal skills. • Strong organizational, multi-tasking, and time-management skills. • Detail-oriented and able to follow through on issues to resolution. • Able to act both independently and as a team member. • Comfortable speaking in a group setting • Able to present audit findings in a confident and constructive manner • Able to teach billing compliance concepts to an individual

🏖️ Benefits

• Health insurance • Paid time off • Flexible work arrangements • Professional development opportunities