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Billing and Coding Auditor
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Overview
Job Description
Banyan Treatment Centers is seeking a detail-oriented and experienced Billing and Coding Auditor to support the accuracy and compliance of our billing practices across our behavioral health services. This critical role ensures the integrity of our claims processes and supports continuous quality improvement, staff education, and adherence to payer regulations.
As a nationally recognized provider of addiction and mental health care accredited by The Joint Commission—with 18 locations, robust Telehealth services, and backed by TPG’s Rise Fund since 2023—our 1,600+ employees are dedicated to delivering compassionate, highâquality care that transforms lives.
Positions Details
- Location: Flexible |On-site (Pompano Beach, FL), Hybrid or Remote (USA)
- Reports to: Auditing Manager & Director of RCM
- Schedule: Full-time
Key Responsibilities
- Conduct regular audits of behavioral health billing and claims for accuracy and compliance.
- Review coding of all services (ICD-10, CPT, HCPCS) to ensure alignment with industry standards and payer contracts.
- Identify discrepancies, potential fraud, and coding errors; recommend corrective actions.
- Collaborate with the billing department to resolve issues and support timely claims submission.
- Communicate audit findings and provide training to improve staff coding accuracy.
- Support the preparation of internal audit reports and QA initiatives.
- Monitor billing trends and recommend improvements in processes and staff performance.
- Ensure compliance with state, federal, and Joint Commission regulations.
- Stay up to date with changes in payer rules, billing codes, and regulatory updates.
- Maintain documentation and patient confidentiality in accordance with all legal standards.
Required Qualifications
- Bachelor’s degree in Healthcare Administration, Business, or a related field—or equivalent work experience.
- Minimum of 4 years of experience in medical claims billing and/or coding, preferably in behavioral healthcare.
- Current certification in Medical Billing and/or Coding.
- Proficiency in Kipu and CollaborateMD required.
- Strong attention to detail and ability to analyze complex claims data.
- Familiarity with EHR systems and Microsoft Office Suite (especially Excel).
- Strong communication, time management, and organizational skills.
- Working knowledge of behavioral health billing practices, insurance reimbursement processes, and compliance standards.
Preferred Qualifications
- Familiarity with Joint Commission standards.
- Familiarity with Medicare, Medicaid, and commercial payer policies related to behavioral health.
- Experience training or mentoring others in billing/coding practices.
Why Join Banyan Treatment Centers?This is an opportunity to make a meaningful impact within a leading national provider of behavioral health services. As our Billing and Coding Auditor, you will:
- Ensure Excellence in Care: Help safeguard billing accuracy and regulatory compliance to support sustainable operations.
- Be Part of a Mission-Driven Team: Contribute to compassionate, quality care that transforms lives every day.
- Grow Your Career: Access ongoing education, training, and advancement opportunities.
- Enjoy Comprehensive Benefits: Medical, dental, and vision insurance; life and disability coverage; 401(k) with employer match; paid time off and holidays; wellness programs; and more.
Apply NowReady to make a lasting difference? Bring your expertise to a team committed to integrity, quality, and compassion. Apply today and grow with Banyan Treatment Centers.
EOE
Automate your job search with Sonara.
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