Quality Assurance Auditor

The Quality Assurance Auditor ensures that services which are billed retail have compliant documents that support accurate coding, helping to support the submission of clean claims in an effort to increase reimbursement and decrease DSO.

Specific duties include, but are not limited to:

• Conducts reimbursement reviews based on denial information from insurance carriers.  Performs quality assurance testing under the direction of a Retail Revenue Services Supervisor/ Manager, in order to ensure accuracy, timeliness, and compliance.  Conducts regularly scheduled as well as random testing and audits.
• Analyzes data and utilizes business software to create compelling, informative and persuasive communications to Operations teams and sites.
• Develops and maintains workflow documentation for system and work processes related to billing/collections and reimbursement.
  • Works with the collections team to create first/second level appeals.
  • Reviews data to ensure A/R and DSO are at appropriate levels.
• Reviews work results, logs, forms, reports and other documents to analyze and track department performance.  Resolves workflow issues and/or makes recommendations to Retail Revenue Services Supervisor/Manager to maximize productivity and workflow while ensuring accuracy, timeliness, and compliance.
• Executes special projects as assigned by the RRS Supervisor/Manager.
• Other job duties as needed.

Position Requirements:

• High School Diploma or equivalent experience.
• All candidates who accept an offer for employment will be required to successfully complete a pre-employment background check and drug screen as a condition of employment.

Preferred:

• Associate's Degree.
• Previously worked in a revenue cycle management environment focusing on A/R resolution.
• AAPC or AHIMA certified not required but a plus

Physical Requirements:

Standard office environment. 

More than 50% of the time:

• Sit, stand, and walk.
• Repetitive movement of hands, arms and legs.
• See, speak and hear to be able to communicate with patients.

Less than 50% of the time:

• Stoop, kneel or crawl.
• Climb and balance.
• Carry and lift 10-20 Lbs.

The stated pay range for this posting is an average and may not be reflective of your individual circumstances. The pay range for this role takes into account a wide range of factors that are considered in making compensation decisions, including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. 

The base pay for this position ranges from $16.18 per hour in our lowest geographic market up to $28.97 per hour in our highest geographic market. 

Akumin Operating Corp. and its divisions are an equal opportunity employer and we believe in strength through diversity. All qualified applicants will receive consideration for employment without regard to, among other things, age, race, religion, color, national origin, sex, sexual orientation, gender identity & expression, status as a protected veteran, or disability.