Revenue Integrity Auditor Full Time Days
Core
Identify billing and coding discrepancies, compliance violations, and revenue leakage across the healthcare revenue cycle to ensure financial integrity.
Role type
Revenue Integrity Auditor
Builds
Audit findings, corrective action plans, and compliance reports for healthcare payers and internal stakeholders
Domain
Healthcare / Revenue Cycle Management / Compliance
Required skills
Medical coding (ICD-10, CPT, HCPCS), HIPAA compliance, regulatory analysis, risk assessment, data analysis, audit planning, report writing
Preferred skills
Knowledge of Medicare/Medicaid billing, clinical documentation integrity, fraud detection, process improvement
Technologies
Electronic health records, billing platforms, spreadsheets, reporting tools, audit tracking systems
Responsibilities
Conduct retrospective and risk-based audits of patient registration, charge capture, coding, and claims submission; Validate coding accuracy and compliance with payer policies; Assess HIPAA privacy and security workflows; Develop audit plans and workpapers; Recommend corrective actions and process improvements; Prepare comprehensive audit reports and present findings to leadership
Seniority
Individual Contributor