North Dakota Licensed Medical Bill Auditor

A company is looking for a Medical Bill Auditor to review, process, and audit submitted medical billings for reimbursement accuracy. Key Responsibilities Review and process medical bills according to coding guidelines and policies Confirm correct medical codes and prior authorization requirements for billed charges Maintain medical bill review manuals and respond to provider inquiries regarding coding and billing issues Required Qualifications Associate degree in a health-related field Two years of experience in processing, auditing, or coding medical claims Relevant experience may substitute for educational requirements on a year-for-year basis Current CPC Certification or eligibility is preferred Knowledge of the insurance industry and therapy coding is advantageous

Apr 1, 2025 - 09:46

A company is looking for a Medical Bill Auditor to review, process, and audit submitted medical billings for reimbursement accuracy. Key Responsibilities Review and process medical bills according to coding guidelines and policies Confirm correct medical codes and prior authorization requirements for billed charges Maintain medical bill review manuals and respond to provider inquiries regarding coding and billing issues Required Qualifications Associate degree in a health-related field Two years of experience in processing, auditing, or coding medical claims Relevant experience may substitute for educational requirements on a year-for-year basis Current CPC Certification or eligibility is preferred Knowledge of the insurance industry and therapy coding is advantageous