Summary
**Fully remote working position
Under the direct supervision of the Regulatory Billing Audit Manager the Regulatory Billing Auditor is responsible for performing selected medical audit reviews and analysis at the MaineHealth system level of clinical and technical records to support acceptable and compliant charging, billing and documentation practices for MaineHealth and its subsidiaries. This position demonstrates knowledge and experience within defined areas of regulatory billing, such as outpatient and physician practice billing, and works with the Regulatory Billing Manager and Senior Billing Auditors to expand their expertise to the full range of audits.
Upon audit completion, the candidate will be expected to provide statistical reports of findings and appropriately analyze these findings in the form of an executive summary to the Regulatory Billing Audit Manager. The Auditor will further be expected to present the analysis and recommendations that are used to evaluate compliance with the relevant healthcare regulations and provide technical and educational assistance to MaineHealth system leaders and various staff to ensure related process improvement.
technical and educational assistance to MaineHealth system leaders and various staff to ensure related process improvement.
Additional Information
MaineHealth is a health system whose members and affiliates include hospitals, physician practices, long-term care facilities, home care agencies, and support services. Learn more about this system at www.mainehealth.org
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