NorthStar Anesthesia
Irving, TX, USA
Role Overview
Under general supervision, ensures that compliance initiatives are met for all the NorthStar client sites. The Medical Billing Compliance Auditor is responsible for investigating potential compliance issues linked to clinical and billing activities. This person will support the compliance team by performing quality, internal audits and monitoring essential services in compliance with federal and state laws and regulations.
Essential Functions:
Coordinates with Compliance Director and Chief Compliance Officer on any billing compliance investigations.
Reviews and audits documentation in the medical records and charges submitted including CPT and ICD-10 information to ensure compliance.
Reviews charge information, claim forms, and insurance correspondence to determine if coding, billing, claim follow-up, payment receipts, posting activities, and credit processing are being performed in an accurate and timely manner and is supported by...