Auditor job summary
A good job description starts with an attention-grabbing summary of the position and its role within your company. Your summary should provide an overview of your company and expectations for the position. Outline the types of activities and responsibilities required for the job so job seekers can determine if they are qualified, or if the job is suitable for them.
Example of an Auditor job summary
Our company is searching for a Healthcare Claims Auditor who can monitor each healthcare claim to ensure that accurate payments are being applied and that the proper managed care processes are being used. The Auditor will be responsible for promptly identifying instances of under and over-payment of accounts, submitting reports to management outlining inaccuracies in the payment process and ensuring that all health claim acceptances and denials are properly recorded by our financial team.
Auditor responsibilities and duties
The responsibilities and duties section is the most important part of the job description. Here you should outline the functions this position will perform on a regular basis, how the job functions within the organization and the title of the manager the person will report to.
- Monitors daily claims activity to identify any instances where contractual obligations were violated or where the facility under or over-performed based on contract requirements
- Use the existing auditing platforms to analyze claims and ensure that the proper amount of funds were applied to each claim
- Work with Compliance Manager to ensure that each claim is being billed and administered in accordance with health insurance requirements and legal framework
- Identify persistent claims error trends and report those trends immediately to management
- Create service denial reports that ensure that all denials are being done within the guidelines provided
Auditor qualifications and skills
Next, outline the required and preferred skills for your position. This may include education, previous job experience, certifications and technical skills. You may also include soft skills and personality traits that you expect from a successful candidate. While it may be tempting to include a long list of skills and requirements, including too many could dissuade qualified candidates from applying. Keep your list of qualifications concise, but provide enough detail with relevant keywords and terms.
- Bachelor’s Degree in Accounting or Finance required
- 5+ years’ experience in claims auditing
- Comprehensive understanding of CPT and HCPCS medical codes
- Strong computer skills
- Understanding of medical fee schedules such as ASC and APC
- Exceptional attention to detail