Billing Specialist - Auditor

Overview

Primary Purpose:

Functions as the primary auditor of the responsible area’s revenue cycle and serves as a liaison between clinical users of the documentation system and corporate operations. Manages complex daily reporting requests and corrects coding discrepancies, performs in-services to clinical and non-clinical staff, and compiles and reports monthly statistical data.

Major Responsibilities: 

• Reports on all aspects of information systems lifecycle (info planning, business requirements, implementations & production support.
• Manages complex daily reporting requests and corrects coding discrepancies.
• Ensures ail users requests are received, promptly evaluated, and responded to in a timely manner.
• Conducts meetings with clinical staff to assist in establishing report priorities.
• Develops and redefines business processes to fit available information for the creation of reports.
• Processes system reports (recurring and one-time requests) and verifies accuracy of data.
• Communicates with end-users regarding report scope & maintenance.
• Performs simple maintenance on hardware; engaging IS when appropriate.
• Performs in-services with clinical and non-clinical staff; regarding departmental policies as related to system enhancements, education, and operation of modules

Physical Requirements:

Must be able to work in a fast-paced environment which encompasses patient/public areas of the hospital and office settings. Work requires walking, standing, long periods of sitting, lifting, reaching, stooping, bending, pushing and pulling. Must be able to lift and support the weight of 25 pounds. Must speak and understand English fluently. Position requires finger dexterity. Must have the ability to concentrate within a high stress, heavy workload. Job requires the sense of urgency for data entry and/or reports to be finished within a given time frame.

Minimum Job Requirements:

High School Diploma or GED. Bachelor’s degree in business administration, Finance or Health Administration preferred. 3 years of related experience and broad exposure to operations required.