Billing Auditor - Quality Assurance

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Summary:

The Billing Auditor - Quality Assurance reviews, audits, and validates the accuracy and completeness of billing and coding practices to ensure compliance with internal policies, payer requirements, and regulatory standards. The role serves as a critical function in identifying errors, recommending corrective actions, and supports billing integrity across the service lines.

Qualifications:

• Associates Degree in Health Information Management, Accounting, Healthcare Administration, or a related field from an accredited college or university required.
• 3 years of DME billing, coding, medical documentation review, claims auditing, or revenue cycle auditing experience in a healthcare setting.
• Must have knowledge of Medicaid, Commercial, and DMEPOS guidelines.

OR

• 4 years of DME billing, coding, medical documentation review, claims auditing, or revenue cycle auditing experience in a healthcare setting may be substituted for the required education.
• Must have knowledge of Medicaid, Commercial, and DMEPOS guidelines.

About Us:

Cook Children's Medical Center is the cornerstone of Cook Children's, and offers advanced technologies, research and treatments, surgery, rehabilitation and ancillary services all designed to meet children's needs.

Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer.