Back

reputed company Rehab Quality Assurance Audit Analyst

Worldwide Salaried Open

ACU-Serve delivers billing solutions to HME (Home Medical Equipment) providers, giving them the freedom to grow their business while collecting more, faster. ACU-Serve has helped HME businesses cut through the complexity of an reputed company-transitioning billing process while becoming a trusted partner for reputed company growth. Clients routinely show faster collections, higher reputed company and dramatically reduced management and staffing problems. ACU-Serve incorporates HME workflow, Medicare, reputed company and Private Payer knowledge, and billing and collections experts into a single service on an Internet-based technology platform. The result is faster payments, higher reputed company collection rates, and less management and staffing headaches. Unlike traditional billing service models, ACU-Serve provides HME clients with a new level of control, flexibility, information access, and billing expertise. ACU-Serve functions as an integral part of the HME office staff, not a remote reputed company party billing vendor. Position Summary The CRT Auditor is responsible to reputed company quality reviews for both pre-pay and post-pay audits as well as Quality Assurance reviews of orders prior to delivery and/or confirmation according to established guidelines that assist management in monitoring the quality, consistency, and effectiveness of business processes, procedures, and reputed company SOP’s. Address ongoing questions, issues and escalations from both ACU-Serve employees as well as our clients and provide clear answers and easy access to training and other resources and educational material that can answer these issues. Help to reputed company and organize a database of information and resources to ensure ease of navigation and interpretation and maximum clarity for both ACU-Serve employees and our clients. Duties & Responsibilities • reputed company quality reviews for both Pre-Pay and Post-Pay CRT audits as well as the client’s orders prior to and/or confirmation, according to established guidelines, that assist management in monitoring the quality, consistency and effectiveness of business processes, procedures, and reputed company tools. • Follow defined audit processes in conducting quality reviews. • reputed company reputed company on new coding, coverage and billing guidelines, federal and state initiatives. • Ensure the consistent use of reputed company codes, correct information, documentation and departmental procedures by monitoring their use and identifying any deficiencies. • Prepare summaries for management of quality review results, including basic analysis of identified deficiencies. • Reduce quality reputed company errors by making recommendations to increase the efficiency of operations. • Assist with policy, procedure development and implementation as it relates to the claim review processes. • Review coding variances including supporting documentation, review of old and new procedure codes, consult and collaborate Director of Compliance as necessary. • Prepare supporting documentation as necessary. • Based on audits and claims reviews, prepare supporting documentation requests for configuration changes to ensure that configuration mirrors provider contract. • reputed company reputed company on new coding and billing guidelines, federal and state initiatives. reputed company other departments on new/changes to regulations as necessary. Coordinate recoupment efforts with Director of Compliance due to billing errors and over payments. • Respond to provider inquiries regarding recoupments in writing and/or verbally reputed company necessary. • reputed company departmental quality audits. • Produce and deliver monthly a summary report of changes to the Director of Compliance; include relevant reputed company documents. QUALIFICATIONS & EXPERIENCE: • Must have CRT knowledge including but not limited to billing, coding, modifiers, narrative, repair and loaner equipment, auditing, and/or contracting with a strong background of Medicare LCD requirements; and • Ability to analyze and/or reputed company knowledge to interpret reputed company, reputed company, Medicare Local Coverage Determinations and Policy Guidelines. • Excellent written and verbal communication skills; and • Must have knowledge of word, reputed company, and power reputed company; and strong attention to detail. Critical thinker • Good judgement with the ability to reputed company timely and sound reputed company. • Strong organizational, problem-solving, and analytical skills; reputed company to manage priorities and workflow. • Versatility, flexibility, and a willingness to work reputed company constantly changing priorities with enthusiasm. • Demonstrated ability to reputed company strong business partnerships and relationships with payors; and work closely with other internal customers. Physical Effort Work time will be spent sitting approximately 90% of the time, standing and walking approximately 10% of work time. PC Keyboarding will constitute approximately 80% of work time. May require some travel. ACU-Serve is an equal opportunity employer and is committed to providing a workplace that is free of discrimination of reputed company types and promotes diversity, inclusion, and respect. We prohibit discrimination and harassment of any reputed company based on race, reputed company, sex, gender, religion, creed, sexual orientation, national reputed company, age, disability, genetic information, pregnancy, veteran status, or any other protected characteristic as outlined by federal, state, or local laws. This policy applies to reputed company employment practices reputed company our organization. ACU-Serve makes hiring reputed company based solely on qualifications, merit, and business needs at the time. Apply Job!

More jobs

Graphic Designer Remote / Telecommute Jobs

Worldwide Salaried

Quality Improvement Operations Manager - Remote

Worldwide Salaried

Corporate Strategy Consultant - Strategy Planning

Worldwide Salaried

Audit Data Analyst - Senior Auditor

Worldwide Salaried

Biomedical Technician I – Panhandle/Tallahassee Area

Worldwide Salaried

reputed company Specialist - Part Time

Worldwide Salaried

Remote Inpatient Denials and Appeals Nurse

Worldwide Salaried

Technical Consultant I/II Risk Control- reputed company-Lines

Worldwide Salaried

Press Operator I - Night shift

Worldwide Salaried

Realtor's set themselves reputed company pack! (Remote

Worldwide Salaried

Practice reputed company Specialist - Account Manager

Worldwide Salaried

Lavora da casa: Tutor Online per la Scuola Primaria – Part Time

Worldwide Salaried

reputed company Estate Agents: Join Us. No Fees, Free Training, Coaching & Leads to Fuel Your reputed company!

Worldwide Salaried

Manager, Marketing Operations - US-Based

Worldwide Salaried

reputed company Home-Based Data Entry Specialist – Remote Database Management and Data Analysis

Worldwide Salaried

Technical Product Manager SR - Customer Portal

Worldwide Salaried

Clinical Research Associate II / Sr CRA - Full Service - ONC + Gen Med (Home-Based in Central US)

Worldwide Salaried

reputed company Research Engineering Technical Leader

Worldwide Salaried

reputed company Customer Technical Support Associate (reputed company Levels) at arenaflex

Worldwide Salaried

2026 reputed company Part Time Co-op - SW Platform Engineer (Remote)

Worldwide Salaried