Quality Assurance Billing Auditor – Medical Day Case Management
Total Care Services, Inc. is seeking an experienced and detail-oriented Quality Assurance Billing Auditor to support our Medical Day Case Management (MDC) Program.
This is a non-billable Quality Assurance position with no productivity requirement. The primary focus is ensuring billing accuracy, documentation quality, regulatory compliance, and continuous improvement.
Schedule: Full-Time | Monday–Friday, 8:30 a.m.–5:00 p.m.
Work Setting: Primarily Remote with occasional onsite meetings/projects
What You'll Do
- Conduct daily and weekly audits of billing and case management documentation.
- Review Case Manager activity notes before submission for Maryland Department of Health (MDH) reimbursement.
- Complete EVS eligibility verification reviews.
- Identify documentation errors, billing discrepancies, and compliance concerns.
- Provide feedback and guidance to Case Managers to improve documentation and billing accuracy.
- Track audit findings, trends, and opportunities for improvement.
- Support quality improvement initiatives and corrective action plans.
- Maintain knowledge of MDH, LTSS, and internal billing requirements.
What We're Looking For
- Bachelor's degree in Human Services, Healthcare Administration, or a related field preferred.
- Minimum 2 years of experience in case management, billing, or quality assurance within healthcare or human services.
- Experience with LTSS and MDH processes strongly preferred.
- Knowledge of billing compliance and documentation standards.
- Strong attention to detail with the ability to identify discrepancies.
- Excellent organizational, analytical, and communication skills.
- Ability to work independently and manage multiple priorities.
Bonus and Employee Benefits:
- Exceptional Benefits: (Medical - Kaiser, Dental and Vision - Mutual of Omaha, PTO, 401k, FSA, and company paid Short Term Disability & Life and Accidental Death and Dismemberment and a host of other voluntary benefits to select from)
- At Total Care Services, Inc., a non-profit organization, we offer more than just a chance to make a significant impact in our community. As a participant in the Public Service Loan Forgiveness (PSLF) Program, joining our team means you're also eligible to apply for loan forgiveness, empowering you to serve with financial peace of mind.
Total Care Services, Inc. is committed to equal employment opportunity and to compliance with federal, state, and local laws governing non-discrimination. Total Care Services, Inc. is proud to be an Equal Opportunity/Affirmative Action Employer, making decisions without regard to race, color, religion, creed, sex, sexual orientation, gender identity, marital status, national origin, age, veteran status, disability, or any other protected class.
Join Our Quality Assurance Team
If you have experience in case management and understand the importance of accurate documentation, billing compliance, and quality oversight, we encourage you to apply to Total Care Services, Inc.
Pay: $65,000.00 per year
Benefits:
- 401(k)
- Dental insurance
- Employee discount
- Flexible schedule
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Referral program
- Retirement plan
- Vision insurance
Work Location: In person
