Overview
Digitech is seeking a Medical Billing Compliance Auditor to work as part of our Internal Auditing Team. This position requires an indiividual with EMS Billing experience, who can multitask and meet deadlines.
100% remote opportunity
The Sarnova Family of companies includes Digitech Computer, Bound Tree Medical, Tri-anim Health Services, Cardio Partners, and Emergency Medical Products.
Digitech is a leading provider of advanced billing and technology services to the EMS transport industry. Since its founding in 1984, Digitech has refined its software platform to create a cloud-based billing and business intelligence solution that monitors and automates the entire EMS revenue lifecycle. Digitech leverages its proprietary technology to offer fully outsourced services that maximize collections, protect compliance, and deliver results for clients.
Responsibilities
Summary:
Compliance is a priority at Digitech. Federal payers often have strict regulations when it comes to ambulance billing. Our Compliance Auditors examine accounts on a regular basis to ensure that Digitech continues to bill claims accurately and in line with regulatory requirements, are responsible for fulfilling external medical record requests, and ensure deadlines are met. As part of the Internal Review Team, you will work closely with our clients to assist them with their compliance needs, initiate third party audits or documentation reviews in accordance with their contracts, and dispute review findings when appropriate.
Organizational Impact
In this role for Digitech, you are our brand ambassador for our clients and the patients that they serve. You impact your line of business by ensuring all HIPAA rules, regulations and timely filing limits are adhered to and identifying and addressing issues and finding resolutions.
Essential Duties And Responsibilities
As part of our Compliance Auditing team, you will perform internal reviews daily. You will be expected to recognize and report any system or billing errors identified during your daily reviews, and randomly select claims for review. This position requires the ability to change gears and prioritize when additional projects arise (i.e. external record requests, client third party reviews, misc. request etc.). All work is expected to be completed satisfactorily, and in a timely manner.
Skills/Experience Required
- A team player with the ability to work well independently, multitask and meet deadlines.
- A minimum of two years’ EMS billing experience
- Knowledge of ambulance coding, with the ability to recognize and define all levels of service.
- Ability to define/identify modifiers specific to ambulance claims.
- Knowledge of all CMS Ambulance regulations (Chapter 10) including, but not limited to, service levels, emergency and non-emergency transport definitions, and medical necessity.
- Comprehension of EMS run records: type of EMS personnel, treatments, procedures, and EMS abbreviations. A good understanding of all EMS terminology, and ability to identify when information is lacking/missing.
- Knowledge of dispatch protocols and EMS protocols.
- Proficient with Microsoft Applications: Excel, Outlook, and Word.
- Ability to respond to record requests - combine/insert/save PDF files, e-fax records etc.)
Sarnova is an Equal Opportunity Employer. We offer a competitive salary, commensurate with experience, along with a comprehensive benefits package, including 401 (k) Plan.
Our mission is to be the best partner for those who save and improve patients’ lives. Excellence in delivering upon our mission is dependent upon having a diverse team that is empowered to bring their full, authentic self to work each day. We strive to create a workplace that reflects the communities we serve, and we are passionate about creating an inclusive workplace that promotes and values diversity.
EEO/M/F/Veterans/Disabled.
