Claims Audit Manager

1 day ago


Long Beach, California, United States Advanced Medical Manage Full time
Job Title: Claims Audit Manager

Advanced Medical Manage is seeking a highly skilled Claims Audit Manager to join our team. As a Claims Audit Manager, you will be responsible for ensuring that incoming claims are processed in accordance with policies, procedures, and guidelines, as outlined by AMM and contractual agreements.

Key Responsibilities:

  • Prepares and coordinates the completion of complex regulatory and compliance reports for submission.
  • Assists in audit preparations, analyzes information, identifies deficiencies, and tracks corrective action for completion.
  • Query, analyze, and interpret data for ad hoc analyses.
  • Apply Medicare Claim Payment rules and requirements, including the application of National Coverage Decisions, Local Coverage Decisions, and National Correct Coding requirements to claims received for payment.
  • Gather information needed for compliance related activities.
  • Participates in quality assurance process for all new department related system/application/process changes.
  • Perform pre-payment audits and post payment audits to validate claims for appropriate coding and documentation and validate accurate claim adjudication rules and fee schedules were applied.
  • Ability to understand, work with and organize data from various systems and databases: facts, figures, narratives, and data analysis.
  • Demonstrate attention to detail and accuracy in work product. Support all levels of claims staff regarding Medicare Commercial, and Medi-Cal, adjudication and coding rules and requirements.
  • Locate and download all coding sources for system updating.
  • Must have excellent verbal and written communication skills.
  • Performs other duties as assigned/necessary.

Requirements:

  • Minimum of five years' experience in healthcare claims processing, or an equivalent combination of education, training, and experience.
  • Medi-Cal and Medicare claim processing experience preferred.
  • Strong understanding of claims processing workflow and payment rules.
  • Detailed knowledge of electronic billing processes and universal billing forms.
  • Knowledge of CMS pricers and vendor pricing software.
  • Strong written skills to accurately complete required documentation within the time frames specified.

Education & Experience Requirements:

  • 3+ years of experience within an MSO, IPA or Health Plan environment.
  • Must be highly organized and able to perform multiple tasks efficiently, be computer literate and must be very knowledgeable of all claims processing rules and guidelines.
  • Must have knowledge of CPT Codes and ICD9 Codes.
  • Must have experience in processing all lines of business Medicare, Medi-Cal, and Commercial claims.
  • Proficient in RBRVS, HCPCS, and CPT coding practices.
  • Familiar with regulatory agencies such as CMS, DMHC, DHCS (State of Cal).
  • Familiar with required laws pertaining to HIPPA Security & Privacy, Fraud Waste and Abuse.
  • Knowledge of health plans, medical groups, and managed care operations and related functions and regulations.
  • Relevant Bachelor's degree; or equivalent work experience required.
  • Ability to work in a fast-paced environment.
  • Knowledge of software applications such as EZCAP.

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