Revenue Integrity Auditor

Job Summary

The Revenue Integrity Auditor ensures healthcare claims are accurate, compliant, and complete by auditing coding and billing processes, reviewing patient charts, and researching variances in payer policies and internal systems to improve financial performance and prevent revenue loss. Reports and educates audit findings to appropriate team members.

Qualifications

Education

Required# High School Diploma, GED, or equivalent Preferred #######Associate#s degree in nursing, health information management, or related field Experience: Required Three years of experience coding and/or auditing Certification/Licensure: Required Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) Required within one (1) year of start date Preferred Certified Professional Medical Auditor