Assistant Manager – High Cost Drug Auditor II
Job Description:
• Apply expert knowledge of billing HCD claims to perform extensive audit reviews.
• Utilize HCPCS codes, medical record review, and industry tools in the audit process.
• Write professional communications documenting audit findings and supporting rationales.
• Identify audit trends and opportunities.
Requirements:
• Three or more years' experience in claims processing or HCD medical billing experience with expert knowledge HCPCS codes.
• Experience reading and interpreting contract language and fee schedules and medical record review.
• Intermediate skills in Word and basic computer literacy.
• Intermediate skills in Excel including comfort working with charts, graphs, and percentages.
• Basic math skills with ability to do conversion calculations.
• High school diploma obtained
• Certified Pharmacy Technician or one or more of the following credentials: RHIA or CPC; preference given to those with multiple credentials.
• Expert in HCPCS codes with advanced knowledge of medical terminology.
• Experience with encoder tools and industry systems (FACETS, NASCO, Encoder Pro, TrueCode, 3M, Webstrat, Pricers).
Benefits:
• For more information on benefits and what we offer please visit us at https://www.exlservice.com/us-careers-and-benefits
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• Apply expert knowledge of billing HCD claims to perform extensive audit reviews.
• Utilize HCPCS codes, medical record review, and industry tools in the audit process.
• Write professional communications documenting audit findings and supporting rationales.
• Identify audit trends and opportunities.
Requirements:
• Three or more years' experience in claims processing or HCD medical billing experience with expert knowledge HCPCS codes.
• Experience reading and interpreting contract language and fee schedules and medical record review.
• Intermediate skills in Word and basic computer literacy.
• Intermediate skills in Excel including comfort working with charts, graphs, and percentages.
• Basic math skills with ability to do conversion calculations.
• High school diploma obtained
• Certified Pharmacy Technician or one or more of the following credentials: RHIA or CPC; preference given to those with multiple credentials.
• Expert in HCPCS codes with advanced knowledge of medical terminology.
• Experience with encoder tools and industry systems (FACETS, NASCO, Encoder Pro, TrueCode, 3M, Webstrat, Pricers).
Benefits:
• For more information on benefits and what we offer please visit us at https://www.exlservice.com/us-careers-and-benefits
Apply tot his job
Apply To this Job