Billing Compliance Reviewer - Brookline, MA
1 month ago

Job summary
The Billing Compliance Reviewer will be responsible for review and analysis of coding and compliance activities directly related to reimbursement for professional and technical services to ensure Federal and State regulatory requirements are met,Responsibilities
- Manage auditing software functions by setting criteria for routine audits including tracking tools and report generation.
- Audit and analyze the documentation accuracy, medical necessity, and billing code selection in alignment with CMS, OIG, and other applicable professional and technical services regulations and guidelines.
Job description
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