What are the responsibilities and job description for the Radiology Billing Auditor position at Professional Radiology?
Job Overview
We are seeking a detail-oriented and highly motivated Radiology Billing Auditor to join our healthcare finance team. In this vital role, you will ensure the accuracy, compliance, and integrity of radiology billing processes by reviewing claims, coding, and documentation. Your expertise will help optimize revenue cycle management while maintaining strict adherence to healthcare regulations and industry standards. This position offers an exciting opportunity to contribute to high-quality patient care through meticulous financial oversight and process improvement.
Responsibilities
- Review radiology billing claims for accuracy, completeness, and compliance with HIPAA, CMS regulations, and other healthcare policies.
- Verify proper CPT coding (Current Procedural Terminology), ICD-9, ICD-10, and ICD coding to ensure correct reimbursement.
- Analyze billing data within Electronic Health Records (EHR) systems and Medical Management Software to identify discrepancies or errors.
- Collaborate with clinical staff and billing teams to resolve coding issues, documentation gaps, or claim denials efficiently.
- Conduct audits of billing processes to ensure adherence to healthcare compliance standards such as JCAHO accreditation requirements and FDA regulations.
- Implement process improvements by developing audit protocols, tracking performance metrics, and recommending corrective actions.
- Maintain comprehensive records of audit findings, compliance reports, and quality assurance documentation for regulatory review.
Qualifications
- Proven experience in healthcare billing, coding (CPT, ICD-9/10), or revenue cycle management within a radiology or medical imaging setting.
- Strong knowledge of HIPAA privacy rules, CMS regulatory compliance, Medicare policies, and healthcare law.
- Proficiency in Microsoft Office Suite (Excel, Word) and EMR/EHR systems for data analysis and documentation purposes.
- Familiarity with managed care processes, health regulation policies, accreditation standards (JCAHO), and quality assurance practices.
- Excellent analytical skills with the ability to interpret complex medical terminology and billing data accurately.
- Ability to work independently and collaboratively within a team while managing multiple priorities effectively.
Join us in ensuring the highest standards of accuracy and compliance in radiology billing! Your expertise will directly impact our ability to deliver exceptional patient care through precise financial operations while supporting our commitment to healthcare excellence.
Pay: $17.00 - $19.00 per hour
Expected hours: 40.0 per week
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee discount
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Tuition reimbursement
- Vision insurance
- Wellness program
Work Location: In person
Salary : $17 - $19