Professional Billing (PB) Auditor – Surgical Specialty

Sage Clinical RCM, LLC · Remote

Posted
4 days ago
Last confirmed live
2 days ago

What this role involves

The Professional Billing (PB) Auditor – Surgical Specialty role at Sage Clinical RCM, LLC involves auditing professional fee claims for hospital-based physician billing, focusing on complex surgical services. Responsibilities include reviewing operative reports, validating CPT, HCPCS, and ICD-10-CM codes, ensuring compliance with NCCI edits and payer guidelines, and providing educational feedback to coding staff. The role supports audit preparedness and compliance with CMS, AMA, and payer-specific regulations.

Skills this posting asks for

  • cpt
  • hcpcs
  • icd-10-cm
  • ncci edits
  • surgical coding
  • professional billing
  • auditing
  • compliance
  • cms regulations
  • ama guidelines

From the employer’s posting

Position Overview The Professional Billing (PB) Auditor – Surgical Specialty provides ongoing audit support fo

Read the full description on Sage Clinical RCM, LLC’s careers page

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