PRIMARY FUNCTION Under general supervision, using a unique combination of clinical expertise and billing knowledge, the Senior Compliance Auditor monitors and improves the quality of clinical and financial documentation related to the provision of patient services. The Senior Compliance Auditor will compare clinical and financial records to ensure that the documentation p

Please note One of the following Certifications are REQUIRED One or more of the following certifications required from AHIMA (American Health Information Management Association, AAPC (American Academy of Professional Coders) or another like educational or industry entity/institution CPC (Certified Procedural Coder), CCS P (Certified Coding Specialist Physician), CCS I (Co

Executes the timely process of electronic and manual payments, denials, and adjustments to ensure both hospital and physician Account Receivables are current. Manages assigned work queues to ensure timely and accurate distribution of monies to hospital and physician A/R as well as General Ledger allocations. Researches and resolves payment discrepancies, PLB's, questions

Responsible for various Accounts Payable office duties, including scanning, indexing and filing of invoices and other Accounts Payable documents. Maintain and organize in house storage system for files and keep track of all off site file storage. Job Duties Manages all invoices and Accounts Payable documents thru imports of scanning functionality to include scanning/impor

Identifies patient overpayments and refunds the appropriate amount assuring compliance with PRO Patient Receivable Office established policies and procedures and detailed instructions. Understands all aspects of insurance contracts in terms of patient financial responsibility and payment/refunds. Utilizes appropriate software to identify all credit balances, processes wee

Maintains a very strong knowledge and background in insurance payments and remittances (electronic and paper) in relation to hospital and physician claim payments. Serves as the internal resources and auditor for identifying the correct account for payments to be allocated to ensure that they are posted appropriately. This includes the ability to trouble shoot and resolve

Executes the timely process of electronic and manual payments, denials, and adjustments to ensure both hospital and physician Account Receivables are current. Manages assigned work queues to ensure timely and accurate distribution of monies to hospital and physician A/R as well as General Ledger allocations. Researches and resolves payment discrepancies, PLB's, questions

Reconciles monies received from the bank lock box, insurance carriers checks, patient payments, and vendors payments assigning the monies to the appropriate GL account. Completes all daily and monthly activities needed to report cash receipts to Finance by the designated deadline. Job Duties Maintains logs for multiple financial institutions of all payment batches, resear

Executes the timely process of electronic and manual payments, denials, and adjustments to ensure both hospital and physician Account Receivables are current. Manages assigned work queues to ensure timely and accurate distribution of monies to hospital and physician A/R as well as General Ledger allocations. Researches and resolves payment discrepancies, PLB's, questions

Supports management in leading colleagues that are responsible for Account Receivable Follow up. Monitors work queues and identifies accounts that underpaid/unpaid or have line item denials for balance resolution. Works closely with the Supervisor/Manager to identify workflow or procedural processes to enhance collection of open Accounts Receivable. Monitors staff perform

. Work Schedule and Additional Information Full time employment, 37.5 hour work week Work hours are 8 30 AM to 5 00 PM, Monday Friday, with a 60 minute lunch. Telework You may have the opportunity to work from home (telework) full time. In order to telework, you must have a securely configured high speed internet connection and work from an approved location inside Pennsy