Healthcare Quality Assurance Analyst
5 days ago
Plutus Health Inc. is a leading provider of Revenue Cycle Management (RCM) services with SOC2 Certification. We're seeking a highly skilled Quality Control Analyst to join our team, focusing on ensuring compliance with healthcare regulations and industry standards for SUD services. The ideal candidate will have a strong understanding of SUD coding practices and a commitment to maintaining high-quality audit standards.
Responsibilities:
- Conduct thorough audits of accounts receivable and coding practices specific to SUD services.
- Review and analyze medical records to assess coding accuracy for SUD-related treatments and procedures.
- Provide constructive feedback and guidance on SUD-specific coding standards and best practices.
- Generate and present audit reports highlighting areas for improvement and trends in coding and billing practices.
- Collaborate with revenue cycle management teams to address coding discrepancies and AR issues related to SUD services.
Requirements:
- Bachelor's degree in healthcare, business administration, or a related field preferred.
- Minimum 2-3 years of experience in healthcare coding, billing, or quality control analysis, with specific experience in SUD settings.
- Strong knowledge of ICD-10, CPT, and HCPCS coding systems, particularly as they relate to SUD services.
- Familiarity with AR processes and revenue cycle management specific to behavioral health.
- Excellent analytical skills and meticulous attention to detail.
- Strong communication and interpersonal skills, with the ability to collaborate effectively with diverse teams.
Compensation:
- $80,000 - $105,000 annual salary, depending on experience.
- Comprehensive health benefits (medical, dental, vision).
- Paid time off and flexible work arrangements.
- Opportunities for professional development and career growth.
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