Auditor, Revenue Integrity Auditing

Job Description

Validate potential missing charges, coding discrepancies, and overcharges using cutting-edge technology and detailed medical records. Ensure high-quality control standards. Identify and analyze revenue leakage points within healthcare systems. Conduct thorough claims/charge auditing, effectively communicating findings to clients. Drive analysis and process improvements for hospital charges. Consistently meet or exceed assigned client financial performance goals. Support prediction enhancements to improve verification rates. Stay informed on the latest CPT, ICD, HCPC, and modifier coding requirements to maintain accuracy and compliance.

Qualifications

1. Possess a comprehensive knowledge of anatomy, physiology, and medical terminology. 2. Demonstrate exceptional quality control skills for precise auditing. 3. Stay current with all CPT, ICD, HCPC, and modifier coding requirements for accurate and compliant revenue integrity auditing.

Benefits

- Competitive total rewards package including base salary and potential bonuses. - Customizable benefits package with various medical plans and Health Savings Account matching. - Generous paid time off, starting with 3 weeks plus 13 paid holidays (including 2 personal floating holidays) for non-exempt team members. - Flexible time off policy plus 13 paid holidays for exempt team members. - Paid parental leave for both maternity and paternity. - Opportunities for education assistance and free access to LinkedIn Learning. - Comprehensive mental health and family planning programs, including adoption assistance and fertility support. - 401(K) program with company match. - Pet insurance coverage. - Participation in employee resource groups.