Clinical Provider Auditor Lead – Behavioral Health
Maryland, United States of America
Full Time
1 hour ago
$76,608 - $95,760 USD
Visa Sponsor
Key skills
Project Management
About this role
Role Overview
- leads day-to-day activities of the audit team
- provides allocation of resources
- establishes priorities
- manages vendor relationships
- periodically audits work of vendors
- conducts provider meetings to discuss audit findings
- negotiates settlements
- researches claims payment methodologies
- prepares and analyzes reports on recoveries
Requirements
- Requires a BA/BS
- minimum of 5 years experience in a related field
- experience in provider audit or reimbursement
- coding certification preferred
- experience with medical coding and project management strongly preferred
- Behavioral Health coding and auditing experience preferred
- must be fluent in English
Benefits
- comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
- paid holidays
- Paid Time Off
- medical benefits
- dental benefits
- vision benefits
- short and long term disability benefits