Florida Licensed Medical Bill Auditor

A company is looking for a Payment Integrity Analyst. Key Responsibilities Review UB-04/IB forms for coding/billing violations Audit revenue codes against clinical documentation Document inconsistencies in claims versus health plan payments Required Qualifications Facility inpatient coding/auditing experience is required Extensive experience in medical billing, coding, or auditing of insurance claims and medical records Familiarity with national coding guidelines such as CPT codes, ICD-9/10, HCPCS codes, DRGs, APCs, etc At least three years of experience in auditing and reviewing medical bills One of the following certifications is mandatory: CPC/COC/CIC/CRC/CPMA

Mar 20, 2025 - 18:19

A company is looking for a Payment Integrity Analyst. Key Responsibilities Review UB-04/IB forms for coding/billing violations Audit revenue codes against clinical documentation Document inconsistencies in claims versus health plan payments Required Qualifications Facility inpatient coding/auditing experience is required Extensive experience in medical billing, coding, or auditing of insurance claims and medical records Familiarity with national coding guidelines such as CPT codes, ICD-9/10, HCPCS codes, DRGs, APCs, etc At least three years of experience in auditing and reviewing medical bills One of the following certifications is mandatory: CPC/COC/CIC/CRC/CPMA