BILLING QA COMPLIANCE SPEC

QUALIFICATIONS:

Education:    Associate Degree in Healthcare, Business Administration, Health Information Management or LPN is required.

Licensure:    N/A

Certification: RHIT, RHIA, or CCS preferred

Experience:    Minimum of two years of experience in revenue cycle required.  Demonstrated working knowledge of Microsoft Office applications is required  Demonstrated ability to train and educate to all levels of the organization is required.  Current knowledge of Medicare regulations as it relates to charging and reimbursement is highly preferred. Current knowledge of hospital billing is preferred.   Knowledge of medical terminology Knowledge of human pathology and diseases and how they relate to diagnosis and DRG assignments.

Skills/Other:   Strong written and oral communication skills required Ability to research and evaluate information Understanding of how to manage both clinical and financial data elements Strong interpersonal skills necessary to interact with all departments Ability to work and contribute to a team environment Ability to promote a positive work environment. Good interpersonal skills.  Strong organizational skills. Ability to prioritize and coordinate multiple workflows simultaneously.