A company is looking for a DME Quality Assurance/ Audit Analyst.
Key Responsibilities
Perform quality reviews for pre-pay and post-pay CRT audits and client orders according to established guidelines
Assist in policy and procedure development related to claim review processes and coordinate recoupment efforts
Prepare summaries and reports of quality review results and educate other departments on new regulations
Required Qualifications
Knowledge of CRT billing, coding, modifiers, and Medicare LCD requirements
Ability to analyze and interpret Commercial, Medicaid, and Medicare policy guidelines
Proficient in Microsoft Word, Excel, and PowerPoint
Strong organizational and analytical skills
Ability to develop strong business partnerships and relationships with payors
