Healthcare Revenue Integrity Auditor & Compliance

St. Joseph’s/Candler Health System; Savannah (GA); Presencial; USD 65.000 - 90.000; Jornada completa

Descripción de la vacante

The Compliance Auditor position at St. Joseph’s/Candler Health System supports the compliance functions by conducting independent audits and monitoring revenue cycle processes as outlined in the annual plan.

The role prepares detailed audit reports, educates on billing and coding, and works with SJ/C staff to improve efficiency of the billing process across SJ/C and affiliates. Required are 3-5 years in revenue cycle, knowledge of ICD-10/CPT/HCPCS/DRG, and strong communication and organizational

Formación

• 3-5 years revenue cycle experience required.
• Knowledge of ICD-10, CPT, HCPCS, DRG, APC and related billing rules.
• Familiarity with healthcare compliance and government regulations.
• Strong written and verbal communication; detailed documentation.
• Preferred certifications in medical coding or revenue cycle.

Responsabilidades

• Conduct independent audits to ensure coding and billing accuracy per policies and contracts.
• Identify and document audit findings with actionable recommendations.
• Collaborate with Revenue Integrity and leaders to improve processes.
• Provide education on billing/coding and regulatory requirements.

Conocimientos

Auditing

Revenue cycle

Analytical thinking

Communication

Time management

Interpersonal skills

Educación

Continuing education in coding/billing

Descripción del empleo

The Compliance Auditor position at St. Joseph’s/Candler Health System supports the compliance functions by conducting independent audits and monitoring revenue cycle processes as outlined in the annual plan.

The role prepares detailed audit reports, educates on billing and coding, and works with SJ/C staff to improve efficiency of the billing process across SJ/C and affiliates. Required are 3-5 years in revenue cycle, knowledge of ICD-10/CPT/HCPCS/DRG, and strong communication and organizational