Revenue Cycle Audit Specialist

Aeroflow Inc.; Asheville (NC); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Health plans

Dental

Vision

401K match

Parental leave

Life insurance

PTO & holidays

Job summary

Aeroflow Inc. is seeking an Audit Specialist reporting to the Director of Audits to strengthen compliance and revenue integrity across the organization.

The role manages external payor audits (Medicare/Medicaid/commercial) and conducts internal audits to identify risk, ensure regulatory compliance, and improve operational accuracy in the revenue cycle. Key duties include preparing audit responses, reviewing medical records and claims for accuracy, supporting corrective actions, and promoting

Qualifications

• High school diploma or equivalent; associate or bachelor’s degree preferred.
• 3+ years of experience in auditing, compliance, coding, or revenue cycle operations.
• Strong knowledge of Medicare and Medicaid regulations and payer audit processes.
• Experience responding to external payor audits (RAC, UPIC, CERT, SMRC, etc.).
• Ability to review medical documentation and claims data for compliance and accuracy.

Responsibilities

• Serve as primary contact for external payor audits, including Medicare, Medicaid, and commercial reviews.
• Coordinate and prepare complete, timely audit responses with medical records and claim documentation.
• Review claims for medical necessity, coding accuracy, and payer compliance.
• Interpret and apply CMS regulations, LCDs/NCDs, and commercial payor policies.
• Track audit timelines, outcomes, and financial impact; support appeals and redeterminations.
• Conduct pre- and post-bill internal audits to identify compliance risks and billing errors.
• Analyze audit findings to identify trends, root causes, and process gaps.
• Provide clear, actionable feedback to coding, billing, and AR teams; support corrective action plans.

Skills

Auditing

Compliance

Coding

Revenue cycle

Education

High school diploma

Associate or Bachelor’s degree preferred

Job description

Aeroflow Inc. is seeking an Audit Specialist reporting to the Director of Audits to strengthen compliance and revenue integrity across the organization.

The role manages external payor audits (Medicare/Medicaid/commercial) and conducts internal audits to identify risk, ensure regulatory compliance, and improve operational accuracy in the revenue cycle. Key duties include preparing audit responses, reviewing medical records and claims for accuracy, supporting corrective actions, and promoting