About this role
Job title: Billing Compliance Reviewer
About the Role Reporting to the Director of Billing Compliance, the Billing Compliance Reviewer plans and executes risk-based audits, analyzes documentation and coding for medical necessity and regulatory adherence, and recommends corrective actions to mitigate compliance risk. The role evaluates the accuracy and integrity of hospital and professional billing practices to ensure compliance.
What You'll Do
- Plan and execute risk-based audits of billing processes and documentation
- Analyze documentation and coding for medical necessity and regulatory adherence
- Recommend corrective actions to mitigate compliance risk and improve billing integrity
- Evaluate the accuracy and integrity of hospital and professional billing practices to ensure compliance
- Collaborate with leadership to implement improvements and monitor ongoing compliance
What We're Looking For
- Experience in medical billing/coding and healthcare compliance
- Strong analytical skills and attention to detail
- Ability to communicate clearly and influence process improvements
Compensation & Benefits
- Salary range: $93,800.00 - $106,000.00 per year
- Benefits include medical, dental, vision insurance; retirement plans; paid time off; parental leave; tuition reimbursement; wellness programs; and employee assistance resources