Revenue Optimization Auditor
North American Partners in Anesthesia
full-time
Posted on:
Location Type: Remote
Location: Florida • New York • United States
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Salary
💰 $55,736 - $76,637 per year
About the role
- 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
Requirements
- 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
Benefits
- 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
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
codingroot cause analysismedical billingdata entrycoding supportcharge correctionsclinical documentation improvementauditingreport preparationcoding guidance
Soft Skills
analytical skillsattention to detailcommunicationproblem-solvingorganizational skills
Certifications
AAPC coding credentialAHIMA coding credentialCANPCCPMA