Special tax auditor vs revenue specialist

Differences between special tax auditor and revenue specialist duties and responsibilities

Special tax auditor example responsibilities.

• Manage the collection, analysis and verification of managerial payroll information to detect fraud and/or unethical practices.
• Reduce transaction time and improve Sarbanes-Oxley compliance by developing and implementing new, improve processes for identifying and eliminating obsolete inventory.
• Conduct Medicare final settlements in order to ensure accurate reimbursement are distributed to Medicare providers.

Revenue specialist example responsibilities.

• Process account receivables, charge entry, claims, and reimbursement in adherence to Medicare and all HMO guidelines.
• Establish a strong understanding of ICD-9 diagnosis and medical inventory codes.
• Work claim edits to ensure clean claim billing to Medicare/Medicare HMO's.
• Review the complex medical records and accurately codes primary/secondary diagnoses and procedures using ICD-10-CM and CPT coding conventions.
• Initiate appeals and ensure required documentation are submitted in the appeals process.
• Complete appeals when authorization are not obtain and or unusual procedure are performed.
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