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Medical Quality Assurance Specialist - Shrewsbury, NJ

Quick Facts
Company Name:J&S Stark Billing & Consulting, Inc.
Location:Shrewsbury, NJ
Employment Type:Full Time
Pay:21-28 - Hourly
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Responsibilities: • Perform compliance audits, risk assessments and investigations as it relates to billing, coding and reimbursement compliance • Study, evaluate and assess standards of operations, product process specs and other related issues to ensure QA standards • Develop, monitor and track QA data and process improvements in all services • Regularly monitor potential billing problems and billing errors • Assist supervisors in developing corrective action plans to improve billing activities and work flow Requirements: • Ability to conduct staff reviews to ensure billing accuracy and adherence to coding guidelines and insurance policies and procedures • Must maintain strict patient and physician confidentiality to support protection of sensitive information, must follow all federal, state and hospital guidelines • Must maintain a current working knowledge of CPT and ICD-9 and ICD-10 coding principles, government regulations and protocols • Detail-oriented with the ability to handle and prioritize multiple tasks and follow through to completion in a timely and accurate manner, with a commitment to excellence • Able to learn quickly, be motivated, flexible, dependable, and comfortable to work independently as well as part of a team • Must have very good verbal and written communication skills to ensure positive and effective communication between auditor, supervisors and other employees • Be able to adjust to constant changes, and contribute to the improvement and advancement of new processes and procedures • Able to consistently demonstrate good time management, organization and analytical skills • Must possess a professional, positive and energetic demeanor that exhibits support of company goals and policies Qualifications: • Prefer 3-5 years of experience in multi-specialty physician billing, background in medical auditing of physician billing is a plus • Knowledge of medical terminology, ICD-9, ICD-10 and CPT codes • High School diploma or equivalent • Proficient PC skills including Microsoft Word, Excel, Outlook and Internet usage • Experience with medical software, databases, and electronic medical records Benefits: • Competitive Compensation • Life Insurance, Long Term Disability Insurance & Retirement Program is offered • Medical/Dental Benefits • Paid time off • Paid holidays • Supportive Work Environment