Description
POSITION OVERVIEW:
We are seeking a detail-oriented and analytical Revenue Cycle Auditor to join our team. This role offers an exciting opportunity to ensure the accuracy and efficiency of our revenue processes, contributing to the overall financial health of our organization. The ideal candidate will have a strong understanding of healthcare revenue cycles, auditing practices, and compliance standards.ย
ESSENTIAL FUNCTIONS:
- Review and analyze billing, coding, and reimbursement processes to ensure accuracy and compliance with applicable regulationsย
- Conduct audits of patient accounts, claims, and revenue cycle activities to identify discrepancies or areas for improvementย
- Collaborate with billing, coding, and finance teams to resolve issues and implement corrective actionsย
- Prepare detailed audit reports and present findings to management, OCC providers, and recommend process enhancementsย
- Monitor ongoing revenue cycle activities to ensure adherence to policies and regulatory requirements.ย
- Stay updated on industry standards, coding changes, and healthcare regulations affecting revenue cycle managementย
PAY & BENEFITS:
$32-38 per hour, depending on experienceย
- Medical, Dental and Vision Insuranceย ย
- Generous PTO package and paid holidaysย
- Company-paid life insurance and long-term disability insuranceย
- Ability to purchase accident insurance, short and long-term disability insurance.ย
- Opportunities for internal training and developmentย
- Annual stipend for continuing education in certain positionsย
- Retirement Plan eligibility after one year of service with eligibility in company profit sharingย
- Most positions offer Monday - Friday work schedulesย
Requirements
REQUIRED QUALIFICATIONS AND SKILLS:
- CPMA certificationย
- Proven experience in revenue cycle management, healthcare auditing, billing and codingย
- Strong knowledge of healthcare billing, coding (ICD, CPT, HCPCS), and reimbursement processesย
- Excellent analytical, problem-solving, and attention-to-detail skillsย
- Proficiency in healthcare management software and auditing toolsย
- Effective communication skills, with the ability to present complex information clearlyย
- Ability to work independently and collaboratively in a fast-paced environmentย
WORKING CONDITIONS:
- Typical business office environmentย
- Possibility of local travelย
- Constant viewing of computer monitor, mousing and typingย
- Frequent standing, walking and sittingย
- Frequent stooping, lifting, carrying and pushing/pulling 10 pounds or moreย
- Occasionally lift and/or move up to 50 poundsย
- Specific vision abilities required by this job include close vision, color vision, peripheral vision, and ability to adjust focusย
- Hours of business are Monday - Friday from 8:00 a.m. to 5:00 p.m. Must be able to work early, late and long hours, as needed, to meet the essential functions of the jobย