Revenue Integrity Auditor

Job description

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