Conduct compliance audits on medical billing functions performed by TruBridge employees or TruBridge contracted or sub-contracted staff.
Provides informal guidance to billers and solves straightforward problems.
Discusses findings with Compliance Consultant and/or Department Leader to identify needs for corrective and preventative action.
Refers to Federal, State, and payer-specific billing guidelines as well as internal policies and procedures when conducting these audits.
Conduct audits upon claims as prescribed in the Medical Billing and Coding Compliance audit plan.
Document audit findings within the tool developed for such; discuss questions with the department’s Billing and Coding Compliance Consultant and/or the Department Leader.
Suggest possible policies and procedures or educational materials to be developed, or possible changes to be made.

2 years Medicare hospital billing experience (within the last 12 months)
Prior experience in conducting research regarding Medicare/Medicaid billing concepts
Excellent communication (written and oral) and interpersonal skills.
Strong organizational, multi-tasking, and time-management skills.
Detail-oriented and able to follow through on issues to resolution.
Able to act both independently and as a team member.
Comfortable speaking in a group setting
Able to present audit findings in a confident and constructive manner
Able to teach billing compliance concepts to an individual

Medical Billing and Coding Compliance Analyst

Key skills