Audit Specialist

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** Who We Are
**** ABOUT ENOVIS
** Enovis Corporation (NYSE: ENOV) is an innovation-driven medical technology growth company dedicated to developing clinically differentiated solutions that generate measurably better patient outcomes and transform workflows. Powered by a culture of continuous improvement, global talent and innovation, the Company’s extensive range of products, services and integrated technologies fuels active lifestyles in orthopedics and beyond. For more information about Enovis, please visit .
** What You'll Do
** At Enovis we pay attention to the details. We embrace collaboration with our partners and patients and take pride in the pursuit of scientific excellence — with the goal of transforming medical technology as we know it..As a key member of the Revenue Cycle Management - Billing Operations team, you will play an integral role in advancing the medical technology industry by transforming patient care and improving patient outcomes.
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* Job Title:

** Audit Specialist
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* Reports To:

** Manager, RCM Billing Operations
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* Location:

** Billerica, MA (On-Site)
** Business Unit:
** RCM-Billing Operations
** Role

Summary:

*
* ** Audit Specialist
** to support
** Revenue Cycle Management (RCM)
** audit requests and billing functions, and to collaborate with internal and external teams to resolve outstanding accounts receivable. This role is responsible for ensuring accurate charge capture, documentation, billing, and reimbursement in accordance with policies, payer guidelines, and regulatory requirements. The Audit Specialist conducts reviews of clinical documentation and billing practices, identifies opportunities to enhance compliance, and responds to third-party payer and charge recovery audits, playing a key role in protecting revenue and supporting operational excellence.
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* Key Responsibilities:

*** The following are the primary duties and responsibilities of this role. Other related duties may be assigned as business needs require.
** Demonstrates exceptional service and integrity related to customer accounts through accurate, timely, relevant, and quality work efforts of all Accounts Receivable or assigned tasks.
* Assists in the development and implementation of action plans to mitigate risk, pertaining to revenue cycle processes and billing compliance.
* Review and prepare audit documentation and submit it in a timely manner to the appropriate auditing entity.
* Weekly audit of insurance charges and manage AR escalations.
* Analyze denial trends and provide solutions for claim adjudication.
* Submit medical documentation related to the additional documentation request.
* Provide feedback to billing staff on coding issues and denials.
* Assist in training and education of coders and staff on compliance, billing, and coding principles for government and commercial payers.
* Prepares written reports and Power Points of audit performance, including recommendations and data points to improve compliance billing.
** Minimum

Basic Qualifications:

*** Minimum of 5 years of experience in medical billing and collections required.
* Proficiency in Microsoft Office applications required.
* Knowledge of billing and collections regulations strongly preferred.
* Experience in a healthcare environment strongly preferred.
* Demonstrated customer service expertise.
** Travel Requirements:
** This position does not require travel.
** Desired Characteristics:
*** Knowledge of insurance contract practices, third-party billing, and billing to private clients strongly preferred.
* Experience using Dataworks, Computers Unlimited TIMS, or similar third-party billing software strongly preferred.
* Currently, Enovis does not provide sponsorship for employment visas (e.g., H-1B) and will not offer such sponsorship in the future. Applicants must already have full-time work authorization in the United States, both now and in the future, without requiring sponsorship.***“Creating better together”. It’s the Enovis purpose, and it’s what drives us and empowers us every day on a global scale.
** We know that the power to create better – for our customers, our team members, and our shareholders – begins with having the best team, pursuing…