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Audits & QI Coordinator, Medical Billing

Company: Encompass Health
Location: Dallas
Posted on: May 16, 2022

Job Description:

Patient Coverage Area: The position can sit at the Hattiesburg, MS Regional corporate office, the Dallas, TX corporate office, or a branch with available space. Encompass Health's home health & hospice services are now Enhabit Home Health & Hospice. We remain committed to delivering a better way to care for our patients and their loved ones, helping them achieve their specific care goals in the comfort and safety of their own homes. As one of the largest Medicare-certified home health and hospice providers in the nation, we continue to set the industry standard for superior home-based care. Hours: Monday - Friday, 8:00am - 5:00pm The audits and quality improvement (QI) coordinator is responsible for the end of episode billing and reimbursement functions. This position works closely with the audits and QI team and other back office staff to ensure billing submissions are completed timely and accurately in order to keep the unbilled percentage below 10% of total revenue. Responsibilities

  • Perform end of episode claim audits for Medicare patient, per current protocol.
  • Perform quality face-to-face (F2F) reviews for new admissions.
  • Perform quality assurance (QA) audits as directed.
  • Follow up on open billing issues, as identified, within two working days.
  • Update incorrect OASIS for key field corrections discovered during billing audit.
  • Complete daily follow up for previous billing periods of incoming and received items that clear the claim to be billed and notify the home office billing department.
  • Utilize only the necessary data analytics reports in tableau to complete audit tasks timely and efficiently; front end audit and review claims demonstration tracker.
  • Enter clear and precise held claim notes so the branch can complete corrections within seven days.
  • Assist branch employees with follow up on all outstanding claims greater than 90 days.
  • Manage billing responsibilities in order to keep unbilled at 10% or less of total branch revenue. Qualifications
    • Must have a high school diploma or equivalent.
    • Two years experience with Medicare or related billing functions is preferred.
    • Must be able to communicate effectively, both orally and in writing.
    • Must be well organized and able to manage time efficiently.
    • Must work well with minimal supervision and have strong work ethic.

Keywords: Encompass Health, Dallas , Audits & QI Coordinator, Medical Billing, Healthcare , Dallas, Texas

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