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Medical Billing Specialist

Company: ICONMA, LLC
Location: Costa Mesa
Posted on: November 20, 2022

Job Description:

Pay Rate Range: $30-$34/hr.(California)

  • Performs duties associated with Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC) program and other government regulatory and enforcement agency audits for documentation and billing compliance.
  • This includes data entry, processing of mail, preparation of audit information, and correspondence with government contractors as needed.
  • This role has a fundamental understanding of the RAC program and other audits for documentation and billing compliance.
  • As an essential role and focal point of all government audit activity, the Government Recovery Specialist is responsible for responding to correspondence from Government Agencies related to Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Targeted Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), Quality Improvement Organizations (QIO) and other Medicaid, Medi-Cal regulatory auditing body for pre and post payment audits.


    • Experience with and understanding of CMS billing, payment and reimbursement methodologies.
    • Knowledge of privacy regulations, security regulations, release of information, CMS rules and regulations.
    • Proficiency in Microsoft Office applications (Word, PowerPoint, Excel, Outlook).
    • 3 years of Medicare billing experience in billing, follow up, in an acute care setting.
    • Experience working on complex projects.
    • 1-3 years of experience in healthcare acute setting regulatory audits and appeals.

      As an equal opportunity employer, ICONMA prides itself on creating an employment environment that supports and encourages the abilities of all persons regardless of race, color, gender, age, sexual orientation, citizenship, or disability.

Keywords: ICONMA, LLC, Costa Mesa , Medical Billing Specialist, Healthcare , Costa Mesa, California

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