Audit Specialist II - Home Infusion - CarepathRx - Remote
Core
Reviewing claim submissions for accuracy, identifying root causes of claim issues, and resolving discrepancies within the home infusion audit program.
Role type
Audit Specialist II (Revenue Cycle)
Builds
Accurate billing and collection activity compliant with payer requirements
Domain
Healthcare / Home Infusion / Revenue Cycle
Deliverable
dashboards & analysis
Required skills
Home infusion revenue cycle knowledge, State and federal billing guidelines, Medical terminology, Claim denial analysis, Quality audit execution, Standard Operating Procedures development
Preferred skills
CPR+ Software, ICD-10, CPT-4, HCPCS, Medicare billing
Responsibilities
Complete payer audits in a timely manner, Perform quarterly quality audit checks, Complete quality audits on new employees, Perform claim denial audits, Assist with training on recurring errors, Assist in development of Standard Operating Procedures, Complete special projects
Seniority
Mid-level, hands-on IC
