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Fee Schedule Auditor

$24 - $28 per hour

JFS and Associates

Back Fee Schedule Auditor Administrative Maitland, FL | Contract To Hire | Start Date: June 19, 2026 Job Type: Temp to Perm Location: Maitland, FL 32751 Work Schedule: Hybrid – 3 days in office, 2 days remote Hours: 8:00am – 4:30pm, 7:30am – 4:00pm (30 min lunch) Compensation: $24/hr – $28/hr Benefits: Health, Dental, Vision while on temp; Full benefits on perm (Health, Dental, Vision, PTO, Holidays, 401K) Job Summary Sanford Rose is looking for a Fee Schedule Auditor to support a multi‑site healthcare services organization’s managed care team. The role focuses on reviewing and maintaining contracted rate tables across government and commercial payers to ensure accurate reimbursement, compliance with payer agreements, and reduced leakage. Responsibilities Review, audit, and reconcile contracted rate tables against payer agreements, allowables, and internal charge/rate references for designated outpatient programs. Detect and document variances between billed amounts, contracted rates, and paid amounts across payer categories. Partner with internal stakeholders (coding, billing, contract administration) to correct rate configuration issues, prevent recurring errors, and recover missed reimbursement when appropriate. Maintain and update rate/fee schedule data to reflect annual regulatory updates and payer‑specific revisions, including bundled payment structures where applicable. Build and deliver audit summaries, trend reporting, and recommendations to leadership. Support adherence to applicable federal/state rules and payer policy requirements related to reimbursement and billing standards. Qualifications 3–5 years in healthcare revenue cycle with experience in payer reimbursement, preferably within outpatient or behavioral/regulated clinical services. Hands‑on exposure to claims review/editing, denial prevention, denial resolution, appeals, and/or coding quality review. Working knowledge of CPT/HCPCS and reimbursement logic (including payer‑specific edits and bundled arrangements). Comfort investigating underpayments, coding/billing mismatches, and configuration problems in rate tables. Strong Excel/Sheets skills (Google Workspace or similar), with high attention to detail and strong analytic capability. Certification in coding/billing/audit (AAPC, AHIMA, or similar) preferred. Additional Information Apply directly to Sanford Rose Associates – JFS Partners. The position is currently open. #J-18808-Ljbffr JFS and Associates

Vacancy posted 1 day ago
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