Code-Based Reimbursement Auditor

The Code-Based Reimbursement Auditor audits charge master and medical record documentation against itemized charges to ensure accuracy and compliance with government and non-government regulations. The role involves reviewing regulatory updates, providing education to hospital staff, and implementing process improvements to resolve billing issues and enhance reimbursement accuracy. Additionally, the auditor conducts focused medical audits, analyzes data for revenue impact, and ensures coding and billing practices align with applicable rules.