What are the responsibilities and job description for the Audit Coordinator position at Insight Global?
Title: Audit Coordinator
Duration: PERM (6 month contract to hire)
Onsite Requirements / Location: HYBRID Camden, NJ 08103
- First 90 days will be fully onsite before converting to hybrid
Hourly Pay: $25.24 - $29.66
Interview Process: 1st Round Virtual (MS Teams), Final Round in-person
Interview Times: 11 & 11:30am EST Weds 2/5, 9 & 10am EST Thurs 2/6
Must Haves
- Associates Degree (or 2yrs relevant work experience)
- Hospital or Physician billing background with knowledge of the Revenue Cycle Process
- In-depth familiarity with 3rd party billing requirements, governmental regulations, and billing documentation
- Experience coordinating 3rd patty audit review cycle from receipt of documentation request through finalizing results with payers and/or governmental agencies
- Knowledge of medical terminology and DRG/CPT codes
Plusses
- Experience with technologies/applications such as MD Audit, Epic EMR software, or Comply Track
- Coding certifications such as CPC or CCS
Job Description
This position is responsible for the coordination of external reviews and audits, including but not limited to Medicare RAC, Medicaid RAC, or successor organizations; Medicare and/or Medicaid pre and/or post documentation requests, including but not limited to ADR, CERT, area wide and/or probe reviews.
Responsibilities include establishing workflows, policies and procedures, software analysis and maintenance and implementation of processes and communication plans for the facilities interactions with 3rd party auditors including but not limited to pre and post payment Medicare, Medicaid and their respective Recovery Audit Contractors (RAC) reviews to ensure timely completion or review/audit documentation requests.
This position is responsible for the oversight of all pre and post payment audit functions and is responsible for maintaining a tracking system for all audit activity throughout all levels of appeals. The Audit Coordinator is responsible for the writing and submission of basic payer appeal, including review and submission of supporting documentation and regulations. The Audit Coordinator will analyze review/audit findings, denials to identify problems in processes, get the information to key people to evaluate, including preparing and sending reports weekly to Chief Compliance Officer, VP of Rev Cycle, Medical Director Utilization Management, Director of Case Management, and others as identified/assigned.
Salary : $25 - $30
