Description:
The Audits & QI Coordinator role is a Home Office/Corporate position that will allow you to work remotely from home. You do not need to be located in Dallas, TX. However, you will need to be located within driving distance of a branch.
Responsibilities
- Perform end of episode claim audits for Medicare patient, per current protocol.
- Perform quality face-to-face (F2F) reviews for new admissions.
- Perform quality assurance (QA) audits as directed.
- Follow up on open billing issues, as identified, within two working days.
- Update incorrect OASIS for key field corrections discovered during billing audit.
- Complete daily follow up for previous billing periods of incoming and received items that clear the claim to be billed and notify the home office billing department.
- Utilize only the necessary data analytics reports in tableau to complete audit tasks timely and efficiently; front end audit and review claims demonstration tracker.
- Enter clear and precise held claim notes so the branch can complete corrections within seven days.
- Assist branch employees with follow up on all outstanding claims greater than 90 days.
- Manage billing responsibilities in order to keep unbilled at 10% or less of total branch revenue.
Qualifications
- Must have a high school diploma or equivalent.
- Two years of experience with Medicare billing or Medicare related billing functions is strongly preferred.
- Must be able to communicate effectively.
- Must be well organized and able to manage time efficiently.
- Must work well with minimal supervision and have strong work ethic.