Full Time
NorthStar Anesthesia
Remote
Essential Functions:
Coordinates with Compliance Audit Manager and Sr. Audit Director on any billing compliance investigations.
Reviews and audits documentation in the medical records and charges submitted including CPT and ICD-10information 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 documentation.
Analyzes billing trends to identify areas of non-compliance and prepares regular reports on audit findings to Compliance Manager.
Collaborates with the Compliance Team to develop annual audit work plans.
Educates providers when deficiencies in documentation and code selection are identified.
Develops corrective action plans and participates in compliance investigations as needed.
Performs other duties as...