Job Overview The Reporting Analyst for Revenue Cycle Management (RCM) is responsible for overseeing the auditing processes within the medical billing and credentialing functions. The role involves conducting detailed audits, ensuring compliance with regulations, identifying areas for improvement, and implementing corrective actions to optimize revenue cycle performance. The auditor will mentor team members, provide consulting services, manage risks, and collaborate closely with operations and billing teams to enhance the RCM process.
Key Responsibilities
1. Audit Planning and Execution:
Develop and implement comprehensive audit plans for medical billing and credentialing processes.
Conduct regular audits on charge entries, payment postings, and claim submissions to ensure compliance with industry standards and company policies.
Review coding practices and billing procedures to ensure accuracy in documentation and claims.

2. Compliance and Regulatory Adherence...