Auditor II, Revenue Cycle (Remote)

North American Partners in Anesthesia

United States

Remote

USD 75,000 - 110,000

Full time

14 days+
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Benefits offered by this job

Paid Time Off
Health, Life, Vision, Dental Insurance
HSA/FSA
401(k)
Leadership and ProfessionalDevelopment

Job summary

North American Partners in Anesthesia, based in Sunrise, FL, is seeking a Revenue Cycle Auditor II to lead comprehensive audits of registration, coding, billing and collections within the anesthesia RCM. You will evaluate system performance, support corrections, and ensure payer guideline compliance.

The role requires CPC certification and 4–6 years in revenue cycle auditing, with advanced Excel and data analytics skills. Collaboration with cross-functional teams is essential.

Qualifications

  • Must hold CPC from AAPC or AHIMA, or obtain within 1 year.
  • 4–6 years of revenue cycle auditing experience; anesthesia focus preferred.
  • Strong proficiency in claims, denials trends, and payer contract interpretation.
  • Advanced Excel and data analytics tools experience.

Responsibilities

  • Audit revenue cycle functions focusing on registration, coding, billing, and collections.
  • Evaluate system performance and maintenance of dictionaries and configurations.
  • Support charge corrections and track resolutions from audit findings.
  • Analyze claim workflows to identify root causes of delays.
  • Collaborate with cross-functional teams to resolve interface errors.
  • Review payer claim acknowledgments with Accounts Receivable to ensure timely processing.
  • Audit coding accuracy and ensure compliance with ICD-10, CPT, HCPCS.
  • Prepare technical audit reports, dashboards, and corrective action plans.
  • Perform pre-correction reviews to hand off to charge correction team.

Skills

CPC Certification
Auditing Experience (4-6 yrs)
Anesthesia RCM
Payer Contract Interpretation
Advanced Excel
Cross-functional Collaboration

Tools

Athena
Epic
Cerner

Job description

Sunrise,FL - USA

Position Requirements
  • 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.

  • Works closely with cross functional teams to troubleshoot and resolve system or interface-related errors.

  • Analyzing 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 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 charge correction team to ensure the accuracy and adherence to payer guidelines and NAPA policies, avoiding any risk to revenue collected.

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

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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