Auditor, Revenue Optimization
vor 1 Woche
Melville,NY - USA Position Requirements RESPONSIBILITIES Audit medical records to identify missed charges, incorrect coding, and other inconsistencies that result in missed billing opportunities. Perform Root Cause Analyses and report findings that identify common issues, including over-coding, under-coding and missed billing opportunities. Retrieves any missing patient information and documentation required for billing. Complete coding of unbilled records identified through audits. Prepare reports, executive summaries, and examples of audit findings for presentation and educational purposes. Assist with Clinical Documentation recommendation, coding guidance research, and the development of coding educational documents Conduct ad-hoc audits as needed to provide root cause analysis and recommendations for resolution. Pre-payment audit : review billing vs documentation, send documentation to the payer, complete necessary charge corrections, and / or identify CDI (Clinical Documentation Improvement) opportunities Provide resolution of missing documentation tasks. Retrieve or request necessary documents, code for billing, and data entry. Provide coding support to cross-functional team inquiries and special projects. REQUIRED QUALIFICATIONS Minimum 3 years coding experience. Must have and maintain an approved coding credential through AAPC (American Academy of Professional Coders) or AHIMA Must have or obtain at least one additional certification (CANPC or CPMA), within 1 year of employment. Extensive knowledge of medical billing software and electronic medical records. Well-rounded knowledge of CMS requirements claims processing, billing / coding guidelines, and the Revenue Cycle process. Proficient PC skills, including Microsoft 365. Excel Proficiency to include basic formulas, concatenate, VLOOKUP, and pivot tables). PREFERRED QUALIFICATIONS Previous coding experience within Anesthesia or General Surgery. Clinical Documentation compliance and regulatory requirements. TOTAL REWARDS : Salary : $60,000- $82,500 annually Generous benefits package, including : Paid Time Off Health, life, vision, dental, disability, and AD&D insurance Flexible Spending Accounts / Health Savings Accounts 401(k) Leadership and professional development opportunities The Auditor, Revenue Optimization is responsible for conducting audits and reviewing clinical documentation to ensure proper charge capture, billing in accordance with standard billing policies and compliance standards. This individual is responsible for assisting the team with resolution of coding / billing issues, participating in external / internal audit requests, payer audits, and special projects as needed. EEO Statement North American Partners in Anesthesia is an equal opportunity employer. #J-18808-Ljbffr
-
Revenue Integrity Auditor – Medical Billing
vor 1 Woche
City Of Melville, Österreich North American Partners in Anesthesia VollzeitA healthcare organization is seeking an Auditor for Revenue Optimization. This role involves auditing medical records, ensuring proper charge capture, and billing compliance with standard policies. Candidates should have at least 3 years of coding experience and maintain coding credentials through AAPC or AHIMA. The position offers a competitive salary...
-
Auditor, Revenue Optimization
Vor 2 Tagen
Council of the City of Sydney, Österreich North American Partners In Anesthesia VollzeitMelville,NY - USA Position Requirements RESPONSIBILITIES Audit medical records to identify missed charges, incorrect coding, and other inconsistencies that result in missed billing opportunities. Perform Root Cause Analyses and report findings that identify common issues, including over-coding, under-coding and missed billing opportunities. Retrieve any...
-
Revenue Integrity Auditor | Medical Billing
Vor 2 Tagen
City of Melbourne, Österreich North American Partners In Anesthesia VollzeitA healthcare organization is seeking an Auditor for Revenue Optimization. This role involves auditing medical records to ensure proper charge capture and compliance with billing policies. Candidates should have at least 3 years of coding experience and maintain coding credentials through AAPC or AHIMA. The position offers a competitive salary between $60,000...
-
Revenue Integrity Auditor: Charge Capture
Vor 2 Tagen
Council of the City of Sydney, Österreich North American Partners In Anesthesia VollzeitA healthcare organization is seeking an Auditor for Revenue Optimization in New South Wales. The candidate will be responsible for auditing medical records and clinical documentation to ensure proper billing practices. Key qualifications include a minimum of three years of coding experience and maintaining an approved coding credential. The salary ranges...
-
Night Auditor — Guest Experience
Vor 2 Tagen
City of Melbourne, Österreich Brightvision Capital Partners, Llc VollzeitA prestigious hospitality organization is looking for a Night Auditor for their Hotel Chadstone Melbourne MGallery in Victoria. The role involves managing overnight operations, welcoming late arrivals, handling revenue postings, and maintaining safety standards. Candidates should have experience in a similar position, great communication skills, and a keen...
-
Health Fund Compliance
vor 7 Stunden
City of Melbourne, Österreich Epworth Healthcare VollzeitA prominent healthcare organization in Melbourne is seeking a dedicated individual to support health fund audits and claims compliance. This role involves reviewing and analyzing audits, facilitating communication between departments, and identifying opportunities for revenue optimization. The ideal candidate should possess a degree in health administration...
-
Entry-Level Tax Compliance Investigator
vor 2 Wochen
City of Melbourne, Österreich State Revenue Office VollzeitA government revenue management agency in Melbourne is seeking a Tax Compliance Investigator / Auditor. This entry-level role involves conducting audits and investigations related to payroll tax, land tax, and stamp duty with extensive training provided. Ideal candidates will have strong communication skills and a background in relevant studies. This...
-
Investigator
vor 2 Wochen
City of Melbourne, Österreich State Revenue Office VollzeitMultiple ongoing and fixed term Tax Compliance Investigator / Auditor positions are being offered in the Investigations Melbourne Branch, Compliance Division. Tax Compliance Investigator / Auditor Multiple ongoing and fixed term roles Salary $74,580 plus superannuation – VPS Grade 3 Based in Melbourne CBD with hybrid working arrangements What we offer The...
-
Coding Auditor
vor 1 Woche
Newcastle City Council, Österreich Calvary VollzeitProgress with purpose at one of Australia’s largest health care providers Get ahead with salary packaging, benefits and professional development in a supportive team environment Flexible Working arrangements Permanent Full-time and Part-time opportunities available Flexible location across VIC, NSW, SA, ACT and TAS About the role As Calvary Healthcare...
-
Coding Auditor/Educator
vor 2 Wochen
City of Melbourne, Österreich at VollzeitAdd expected salary to your profile for insights Progress with purpose at one of Australia’s largest health care providers Get ahead with salary packaging, benefits and professional development in a supportive team environment Flexible Working arrangements Permanent Full-time and Part-time opportunities available Flexible location across VIC, NSW, SA, ACT...
