Claims Audit Coordinator
New Season


Job Info


Are you looking to make a difference in your community? We are seeking a Claim Audit Coordinator to join our Revenue Cycle team at our Corporate office located in Maitland, Florida. Apply today to help fight against the opioid epidemic and join a united work family.

New Season:

For over 30 years, New Season Treatment Centers have been a leading national health care service provider of outpatient treatment centers that specialize in providing safe, quality and best in class care for individuals living with Opioid Use Disorder ("OUD").

Operating in over 70 treatment centers in multiple states, our team members are engaged in medication-assisted treatment, counseling, support, and care management of individuals living with OUD. We treat the whole person and, in so doing, address the underlying causes of OUD in an effort to provide a continuum of care that not only addresses treatment needs but supports the patient on their journey to recovery.

Claim Audit Coordinator Job Summary:

This position will primarily perform tasks related to claim audits, standards for accreditation, such as CARF, Third-Party Payer audits, compliance audits, and all projects related to the quality of the information on outbound claim forms.

Essential Functions:

  • Generates a random sample of processed claims for review and auditing purposes.
  • Creates and disseminates various exception reports related to the revenue cycle projects.
  • Prepares internal audit reports for publication to executive management and/or stakeholders.
  • Reports identified items of deficiency or process improvement to the Vice President of Revenue Management along with recommendations for improvement.
  • Completes all Compliance Matters requests related to Revenue Management.
  • Keep lines of communication open with the Clinic Operation Leadership Team to ensure individualized goals are met.

Benefits:

  • Weekends Off (Work Life Balance)
  • Competitive Pay
  • Generous PTO (3 weeks with buy up options)
  • Excellent Medical (EPO & PPO plans), Dental, and Vision Insurance
  • FSA's, Telehealth and Tele-Counseling services
  • Life Insurance
  • Short/Long Term Disability
  • 401k with up to 3% matching
  • Reimbursement for education, license, tuition, etc.
  • Referral bonus (up to $750)

Essential Qualifications:

Education/Licensure/Certification:

This position requires a CPT Certification and/or HIMS/RHIT Degree.



Required Knowledge:

The ideal candidate will have a broad knowledge of Revenue Cycle, Common Procedure Terminology Codes, ICD-10 and the associated experience to understand the importance of the codified data presented to a health plan on a claim form. The individual would also have a good understanding and/or undergo training for random sample audit procedures.

The individual will have a general knowledge of healthcare software systems so that the training and education of users may be delivered in a successful manner. This position will also be required to organize audit data in a constructive format.

Experience Required:

This position requires 2 years of work experience in a healthcare setting, in particular, a large health system or outpatient service provider in multiple states. Some experience with internal audit procedures is preferred.



New Season provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

40CMG Corporate; Nationwide



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