Performs all retrospective insurance company audits, according to established Audit Policies including pre-payment requirements. Completes post audit adjustments. Performs audits of patient bills as requested. Reconstructs patient statements through medical record review. Completes required audits necessary to assist hospital’s legal teams. Performs all audits for Chart Audit Committee functions. Works billing error reports as assigned. Assists with CDM review and deployment.
RN/LPN; or Experienced Business Office Auditor or Biller; or Experienced Clinical Licensed Professional; or HIM or Accounting background
Palmetto General Hospital