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Billing Quality Auditor Cornerstone Healing Center - 3.9 Phoenix, AZ Job Details Full-time $38,000 - $50,000 a year 14 hours ago Benefits Health savings account AD&D insurance Health insurance Dental insurance 401(k) Paid time off Employee assistance program Vision insurance Life insurance Qualifications HIPAA High school diploma or GED Attention to detail Medical terminology Time management Full Job Description Cornerstone Healing Center is seeking an experienced, detail-oriented Billing Quality Auditor to help ensure the accuracy, compliance, and completeness of our clinical documentation and billing processes. This role serves as an important connection between our Clinical and Billing teams. The Billing Quality Auditor reviews clinical documentation and claims to ensure services are properly documented, accurately captured, compliant with payer requirements, and successfully submitted for reimbursement. We are looking for someone who is analytical, highly organized, comfortable identifying discrepancies, and persistent about following issues through to resolution. You should be comfortable working with both clinical and billing teams, communicating documentation deficiencies, identifying patterns, and helping improve processes that impact reimbursement and revenue integrity.

Responsibilities:

Audit clinical documentation and claims for completeness, accuracy, compliance, and payer-specific requirements Verify signatures, provider credentials, dates, diagnoses, and other required documentation elements Ensure assessments, treatment plans, progress notes, and other clinical records support billed services, levels of care, and medical necessity Apply AHCCCS, Medicare, Medicaid, and commercial payer documentation and billing requirements Review documentation for incomplete or unsigned records and follow up with clinical staff to obtain corrections Reconcile schedules, census information, billable encounters, documentation, charges, and claims to identify missing, duplicate, inaccurate, or unbilled services Identify documentation deficiencies and communicate needed corrections to clinicians Track provider documentation trends and identify recurring compliance concerns Review accounts for completeness before releasing them for billing Audit claim batches prior to submission Track claims through EHR, RCM, clearinghouse, and payer acceptance Investigate rejected claims, transmission errors, clearinghouse issues, and payer acceptance failures Track outstanding documentation and billing exceptions through resolution Monitor timely filing requirements and help ensure claims are submitted within payer deadlines Develop reports and analyze trends related to claim acceptance, reimbursement, denials, and potential revenue leakage Identify and recommend process improvements that strengthen billing accuracy, documentation quality, compliance, and efficiency

Qualifications:

High school diploma or equivalent required 21 years or older 2+ years of experience in healthcare billing, medical records, utilization review, documentation auditing, revenue cycle management, insurance claims processing, or a related healthcare administrative role preferred Working knowledge of EHR systems, RCM platforms, clearinghouses, and healthcare billing applications Knowledge of medical terminology, clinical documentation standards, insurance claims, and healthcare reimbursement Experience with Microsoft Excel, Google Sheets, Microsoft Office, and Google Workspace Strong analytical and problem-solving skills Exceptional attention to detail Strong organizational and time-management skills Ability to manage competing priorities and meet deadlines Ability to work independently and follow issues through to resolution Comfortable communicating documentation deficiencies and corrective actions professionally Ability to work collaboratively with clinical, billing, and administrative teams Ability to maintain confidentiality and comply with HIPAA requirements Valid, active and unrestricted Arizona driver's license

The Person We're Looking For:

You notice the things other people miss. You're someone who doesn't simply identify that something is wrong—you want to understand why it's wrong and make sure it gets corrected. You are comfortable digging into documentation, comparing information across systems, identifying inconsistencies, and following the trail until you understand what happened. If a service was provided but wasn't captured for billing, you want to know why. If a claim didn't make it through the clearinghouse or wasn't accepted by the payer, you follow it through. If the same documentation issue keeps happening, you recognize the pattern and help address the underlying problem. You also understand that quality auditing requires communication. You'll work with clinicians, Clinical Leadership, Billing, and other departments to resolve issues, improve documentation practices, and protect the integrity of the revenue cycle. This is a great opportunity for someone who enjoys detailed work, problem-solving, and healthcare billing.

Pay:

$38,000.00 - $50,000.00 per year

Benefits:

401(k) AD&D insurance Dental insurance Employee assistance program Health insurance Health savings account Life insurance Paid time off Vision insurance Application Question(s): Do you have at least 1 year of experience in healthcare billing, medical records, insurance claims, or clinical documentation?

Work Location:

In person