Job Summary
The Revenue Integrity Auditor ensures healthcare claims are accurate, compliant, and complete by auditing coding and billing processes, reviewing patient charts, and researching variances in payer policies and internal systems to improve financial performance and prevent revenue loss. Reports and educates audit findings to appropriate team members.
Qualifications
Education
- Required
- High School Diploma, GED, or equivalent
- Preferred
- Associate’s degree in nursing, health information management, or related field
Experience:
- Required
- Three years of experience coding and/or auditing
Certification/Licensure:
- Required
- Certified Professional Coder (CPC) or Certified Coding Specialist (CCS)
- Required within one (1) year of start date
- Preferred
- Certified Professional Medical Auditor
Location: Shannon Health · BUSINESS OFFICE-SMM
Schedule: Full Time
