Revenue Cycle Auditor

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. 

ESSENTIAL FUNCTIONS:

• Review and analyze billing, coding, and reimbursement processes to ensure accuracy and compliance with applicable regulations 
• Conduct audits of patient accounts, claims, and revenue cycle activities to identify discrepancies or areas for improvement 
• Collaborate with billing, coding, and finance teams to resolve issues and implement corrective actions 
• Prepare detailed audit reports and present findings to management, OCC providers, and recommend process enhancements 
• Monitor ongoing revenue cycle activities to ensure adherence to policies and regulatory requirements. 
• Stay updated on industry standards, coding changes, and healthcare regulations affecting revenue cycle management 

PAY & BENEFITS:

$32-38 per hour, depending on experience 

• Medical, Dental and Vision Insurance  
• Generous PTO package and paid holidays 
• Company-paid life insurance and long-term disability insurance 
• Ability to purchase accident insurance, short and long-term disability insurance. 
• Opportunities for internal training and development 
• Annual stipend for continuing education in certain positions 
• Retirement Plan eligibility after one year of service with eligibility in company profit sharing 
• Most positions offer Monday – Friday work schedules 

REQUIRED QUALIFICATIONS AND SKILLS:

• CPMA certification 
• Proven experience in revenue cycle management, healthcare auditing, billing and coding 
• Strong knowledge of healthcare billing, coding (ICD, CPT, HCPCS), and reimbursement processes 
• Excellent analytical, problem-solving, and attention-to-detail skills 
• Proficiency in healthcare management software and auditing tools 
• Effective communication skills, with the ability to present complex information clearly 
• Ability to work independently and collaboratively in a fast-paced environment 

WORKING CONDITIONS:

• Typical business office environment 
• Possibility of local travel 
• Constant viewing of computer monitor, mousing and typing 
• Frequent standing, walking and sitting 
• Frequent stooping, lifting, carrying and pushing/pulling 10 pounds or more 
• Occasionally lift and/or move up to 50 pounds 
• Specific vision abilities required by this job include close vision, color vision, peripheral vision, and ability to adjust focus 
• 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 job