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Clinical Billing Compliance Specialist
2 months ago
{"h1": "Clinical Billing Compliance Analyst", "p": "At Management Solutions International MSI, we are seeking a skilled Clinical Billing Compliance Analyst to support our service and procedure compliance program. This role involves analyzing medical records for documentation standards, ensuring correct billing, and providing education based on audit findings. The position is crucial for maintaining billing compliance and accuracy across clinical areas.", "ul": [{"li": "Review medical records to ensure compliance with documentation standards and coding guidelines."}, {"li": "Analyze coding and charging processes, particularly in high-value departments such as Emergency Rooms and Specialty Clinics."}, {"li": "Support the compliance program by providing thorough analysis and recommendations to improve billing accuracy and efficiency."}, {"li": "Educate and train clinical teams based on audit outcomes, ensuring they understand the importance of accurate billing and compliance."}, {"li": "Adhere to company standards, including those related to conduct and conflict of interest, to maintain a culture of compliance."}, {"li": "Perform additional duties as required to support the department's needs and contribute to the success of the compliance program."}], "h2": "Requirements", "ul": [{"li": "Bachelor's Degree in Commerce, Health Information, or a relevant discipline."}, {"li": "At least 3 years of experience in charge description auditing, compliance audits, and insurance claims auditing in a hospital setting."}, {"li": "Coding certification from AAPC or AHIMA."}, {"li": "Proficiency in Microsoft Office and fluency in English."}]}