Auditor, Revenue Integrity Auditing
Job Description:
• Validate potential missing charges, coding variances and overcharges using proprietary technology and medical records
• Quality control
• Analyze revenue leakage
• Claims/Charge auditing with ability to professionally communicate findings to client
• Analysis and process improvement of hospital charges
• Achieve and maintain assigned Client financial performance goals
• Assist in prediction enhancements to increase verification rates
• Remain current on CPT, ICD, HCPC and modifier coding requirements
Requirements:
• Knowledge of anatomy, physiology, and medical terminology
• Quality control skills
• Remain current on CPT, ICD, HCPC and modifier coding requirements
Benefits:
• Competitive total rewards (base salary + bonus, if applicable)
• Customizable benefits package (3 medical plans with Health Saving Account company match)
• Generous paid time off for non-exempt team members, starting with 3 weeks + 13 paid holidays, including 2 personal floating holidays
• Flexible time off for exempt team members + 13 paid holidays
• Paid parental leave (including maternity + paternity leave)
• Education assistance opportunities and free LinkedIn Learning access
• Free mental health and family planning programs, including adoption assistance and fertility support
• 401(K) program with company match
• Pet insurance
• Employee resource groups
Apply tot his job
Apply To this Job
• Validate potential missing charges, coding variances and overcharges using proprietary technology and medical records
• Quality control
• Analyze revenue leakage
• Claims/Charge auditing with ability to professionally communicate findings to client
• Analysis and process improvement of hospital charges
• Achieve and maintain assigned Client financial performance goals
• Assist in prediction enhancements to increase verification rates
• Remain current on CPT, ICD, HCPC and modifier coding requirements
Requirements:
• Knowledge of anatomy, physiology, and medical terminology
• Quality control skills
• Remain current on CPT, ICD, HCPC and modifier coding requirements
Benefits:
• Competitive total rewards (base salary + bonus, if applicable)
• Customizable benefits package (3 medical plans with Health Saving Account company match)
• Generous paid time off for non-exempt team members, starting with 3 weeks + 13 paid holidays, including 2 personal floating holidays
• Flexible time off for exempt team members + 13 paid holidays
• Paid parental leave (including maternity + paternity leave)
• Education assistance opportunities and free LinkedIn Learning access
• Free mental health and family planning programs, including adoption assistance and fertility support
• 401(K) program with company match
• Pet insurance
• Employee resource groups
Apply tot his job
Apply To this Job