Revenue Cycle Auditor II: Precision Coding & Compliance

North American Partners in Anesthesia; Town of Florida (NY); On-site; USD 85,000 - 125,000; Full time

Benefits offered by this job

Paid Time Off

Health, Vision, Dental Insurance

401(k) with Employer Match

Flexible Spending Accounts

Job summary

North American Partners in Anesthesia seeks a Revenue Cycle Auditor II in Sunrise, FL to lead advanced audits of registration, coding, billing, and collections. You will assess system performance, and drive remediation when gaps are found, ensuring compliant, timely reimbursements.

Strong CPC credentials and 4–6 years in revenue cycle auditing are required, with anesthesia domain experience preferred. Proficiency in Excel and major billing systems is essential.

Qualifications

• CPC certification from AAPC or AHIMA required or must be obtained within 1 year.
• 4–6 years of auditing or revenue cycle experience, anesthesia specialization preferred.
• Proficiency in claims, denial trends, payer contract interpretation.
• Advanced understanding of revenue cycle processes, medical billing systems, and healthcare compliance.
• In-depth knowledge of healthcare billing systems (Athena, Epic, Cerner, or similar).
• Advanced Excel skills and familiarity with audit tools and data analytics platforms.

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.
• 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.

Skills

CPC Certification

Auditing Experience

Excel Proficiency

Data Analytics

Healthcare Billing Knowledge

Cross-functional Collaboration

Tools

Athena

Epic

Cerner

Audit Tools

Job description

North American Partners in Anesthesia seeks a Revenue Cycle Auditor II in Sunrise, FL to lead advanced audits of registration, coding, billing, and collections. You will assess system performance, and drive remediation when gaps are found, ensuring compliant, timely reimbursements.

Strong CPC credentials and 4–6 years in revenue cycle auditing are required, with anesthesia domain experience preferred. Proficiency in Excel and major billing systems is essential.