Auditor, Revenue Optimization
Vor 2 Tagen
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. Retrieve 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 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
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Auditor, Revenue Optimization
vor 1 Woche
City Of Melville, 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. Retrieves any...
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Revenue Integrity Auditor: Charge Capture
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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...
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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...
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Revenue Integrity Auditor | Medical Billing
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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...
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Coding Auditor
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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...