Auditor Ii, Revenue Cycle

3 weeks ago

Perth, Western Australia Buscojobs Full time

Melville, NY - USA

Position Requirements

RESPONSIBILITIES

  • Conduct comprehensive revenue cycle audits covering registration, coding, billing, and collections.
  • Evaluate system performance, including billing system integrity, implementation outcomes, and maintenance of dictionaries and configurations.
  • Support billing and charge correction reviews based on audit findings and track resolutions.
  • Analyze claim workflows to identify root causes for delayed or inaccurate reimbursements.
  • Work closely with cross-functional teams to troubleshoot and resolve system or interface-related errors.
  • Analyze payer claim acknowledgment rejections collaboratively with the Accounts Receivable (A/R) department to identify root causes, recommend corrective actions, and ensure timely and accurate claims processing and payment.
  • Audit coding accuracy and completeness; collaborate with the Revenue Optimization Audit team and validate compliance with ICD-10, CPT, and HCPCS standards.
  • Prepare technical audit reports, dashboards, and corrective action plans.
  • Perform pre-correction reviews to hand off to the charge correction team, ensuring accuracy and adherence to payer guidelines and NAPA policies, thus avoiding revenue collection risks.

REQUIRED QUALIFICATIONS

  • Current Certified Professional Coder (CPC) from AAPC or AHIMA required or must be obtained within 1 year.
  • 4–6 years of auditing or revenue cycle experience. Anesthesia specialization is highly preferred.
  • Proficiency in claims, denial trends, payer contract interpretation.
  • Advanced understanding of revenue cycle processes, medical billing systems, and healthcare compliance standards.
  • In-depth knowledge of healthcare billing systems (Athena, Epic, Cerner, or similar).
  • Advanced Excel skills and familiarity with audit tools and data analytics platforms.
  • Strong analytical thinking, attention to detail, and cross-functional collaboration skills.

TOTAL REWARDS :

  • Salary: hourly $24.01 - $33.01 / hour
  • Generous benefits package, including:
  • 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 Revenue Cycle Auditor II provides advanced auditing of revenue cycle functions with a specialized focus on coding denials accuracy, system performance, and billing compliance. This position plays a critical role in identifying billing errors, system inefficiencies, and compliance risks across the revenue cycle.

EEO Statement

North American Partners in Anesthesia is an equal opportunity employer.

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