Senior Bill Review Analyst

A company is looking for a Senior Bill Review Analyst to pre-screen claims and resolve billing discrepancies. Key Responsibilities Identify overcharges, unbundled codes, and other discrepancies in claims Ensure adherence to national and industry billing standards and communicate findings to clients Collaborate with the Negotiation team to resolve claim issues and track bill review trends Required Qualifications 3+ years of auditing, claims review, and/or billing experience in a healthcare organization Experience with Encoder Pro and/or Find-A-Code software Working knowledge of industry coding, including ICD-10, CPT, and HCPCS Revenue codes Knowledge of CMS guidelines Experience in bill review and line charge verifications

Mar 27, 2025 - 19:49

A company is looking for a Senior Bill Review Analyst to pre-screen claims and resolve billing discrepancies. Key Responsibilities Identify overcharges, unbundled codes, and other discrepancies in claims Ensure adherence to national and industry billing standards and communicate findings to clients Collaborate with the Negotiation team to resolve claim issues and track bill review trends Required Qualifications 3+ years of auditing, claims review, and/or billing experience in a healthcare organization Experience with Encoder Pro and/or Find-A-Code software Working knowledge of industry coding, including ICD-10, CPT, and HCPCS Revenue codes Knowledge of CMS guidelines Experience in bill review and line charge verifications