Revenue Integrity Reimbursement Auditor

Baptist Health System KY & IN

Revenue Integrity Reimbursement Auditor investigating healthcare denials and underpayments for Baptist Health. Improving reimbursement through audits, recovery efforts, and payer strategy development.

Posted 8/10/2026full-timeRemote • Kentucky • 🇺🇸 United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in analyzing reimbursement processes and resolving discrepancies within the healthcare revenue cycle. Proficient in medical terminology and knowledgeable about payor reimbursement guidelines and managed care contracts.

Highest-signal resume keywords

Healthcare Revenue Cycle ManagementPayor Reimbursement GuidelinesDenial Appeal ProcessesAudit Response RequirementsManaged Care Contracts

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Fee Schedule AnalysisPre-Denial AuditsReimbursement Discrepancy ResolutionTrend IdentificationFinancial Services Experience

Industry Keywords

Medical TerminologyAuthorization/Notification GuidelinesTimely Filing GuidelinesGovernment AuditsHealthcare Experience

About the role

Key responsibilities & impact

Research denials and suspected underpayments from commercial and governmental payors
Perform pre-denial audits by UPICs or similar entities
Analyze fee schedules and modeled contracts to determine whether Baptist Healthcare System received appropriate reimbursement
Perform recovery efforts on reimbursement discrepancies and follow up until resolution
Facilitate development of corporate- and facility-level strategies to improve reimbursement
Identify trends that negatively impact reimbursement

Requirements

What you’ll need

Bachelor’s Degree in a related field with at least five years of healthcare experience
At least two years of experience in a revenue cycle related area such as registration, patient accounting, financial services, or managed care
In lieu of a bachelor’s degree, eight years of healthcare experience required, with at least five years in a revenue cycle related area
Knowledge of medical terminology
Knowledge of payor reimbursement guidelines, including authorization/notification, medical necessity, and timely filing guidelines
Knowledge of payor denial appeal and underpayment resolution processes
Knowledge of managed care contracts
Keen understanding of audit response requirements and timelines for government audits
Residency in KY or IN
Must pass post-offer, pre-employment drug testing

Benefits

Comp & perks

Remote work position
Equal Employment Opportunity employer
Drug-free workplace
Post-offer, pre-employment drug testing