Complex Rehab (CRT) Quality Assurance/Audit Analyst at ACU-Serve Full Time

Duties

• Perform quality reviews for audits
• Conduct Quality Assurance reviews
• Address ongoing questions and issues
• Develop and organize information database
• Follow defined audit processes
• Stay current on coding and billing guidelines
• Ensure consistent use of current codes
• Prepare quality review summaries
• Recommend efficiency improvements
• Assist with policy and procedure development
• Review coding variances
• Prepare supporting documentation
• Educate on new regulations
• Coordinate recoupment efforts
• Respond to provider inquiries
• Perform departmental quality audits
• Deliver monthly summary reports

Requirements

• Knowledge of CRT billing and coding
• Strong background in Medicare LCD requirements
• Ability to interpret policy guidelines
• Excellent written and verbal communication
• Proficiency in Word, Excel, and PowerPoint
• Strong attention to detail
• Critical thinker with good judgment
• Strong organizational skills
• Versatility and flexibility
• Ability to develop business partnerships

Benefits

• Sitting approximately 90% of the time
• PC Keyboarding approximately 80% of work time
• May require some travel