Audit Coordinator I - Post Audit, Healthcare

Audit Coordinator I – Medical Record Invoicing Post Audit

The position of the medical record invoicing audit coordinator is responsible for verifying, setting up and processing medical record invoices for payment operations clients.  Functions including researching of invoices/claims in various EXL systems to verify receipt of medical records and cross referencing client contracts for limitations and thresholds. Attaching medical record invoice to audits within EXL workflows, updating EXL workflows and MR Dashboard with MR invoice payment details. Work with the accounts payable team to set up all medical record payments and process payments in a timely fashion. Follow up with providers/vendors when medical record invoice payments processed and no medical record received.

Responsibilities:

• Perform quality review of medical record invoices for accurate payment processing.
• Ensure that all invoicing for medical records and audit fees are handled and processed timely and accurately.
• Become acclimated and knowledgeable of the terms and limitations for client invoicing policies/contracts.
• Work with internal departments to resolve medical record invoicing and collection issues
• Process payments including ACH, credit cards and paper checks
• Responds to accounting or billing inquiries from providers for medical record invoices
• Become familiar with client reports and internal reports and assist in their preparation.
• Prepare reports and any ad hoc requests from Manager
• Manage group emails
• Ensure all audit issues are documented in the applicable audit program Audit System.
• Escalate issues to management and handle for Follow Up action as needed.
• Provide back-up assistance to other Audit Coordinators as needed
• Comply with HIPAA and other regulations regarding confidentiality of information.

• Other duties as assigned to support the audit process and/or company-wide programs

Required:

• High School Diploma - Associate degree or relevant certification is a plus
• Solid knowledge of Microsoft Office necessary, especially Excel, Word, and Outlook
• Highly organized, detail oriented and solid problem-solving skills
• Able to make recommendations to improve and streamline processes to make more efficient
• Ability to positively and comfortably handle and prioritize multiple tasks in a fast-paced environment with focused attention to detail
• High level of integrity and confidentiality
• Possesses time management skills; exhibits solid ability to prioritize work and perform multi-tasks.
• Basic knowledge of medical claims
• Strong written and verbal communication skills