Revenue Integrity Auditor

Shannon Health; San Angelo (TX); On-site; USD 70,000 - 90,000; Full time

Job summary

Shannon Health is seeking a Revenue Integrity Auditor to ensure claims are accurate, compliant, and complete by auditing coding and billing processes and reviewing patient charts. The role involves researching variances in payer policies and educating team members on audit findings to prevent revenue loss.

Required qualifications include an Associate’s degree in nursing, health information management, or related field, plus three years of coding or auditing experience.

Qualifications

• Three years of experience coding and/or auditing.
• Knowledge of payer policies and coding/billing procedures preferred.
• Experience reviewing patient charts and researching variances.

Responsibilities

• Audit coding and billing processes for accuracy and compliance.
• Review patient charts to verify documentation supports coding.
• Research variances in payer policies and internal systems to improve financial performance.

Skills

Coding & auditing

Audit experience

Education

Associate’s degree in nursing, health information management, or related field

Job description

The Revenue Integrity Auditor ensures healthcare claims are accurate, compliant, and complete by auditing coding and billing processes, reviewing patient charts, and researching variances in payer policies and internal systems to improve financial performance and prevent revenue loss. Reports and educates audit findings to appropriate team members.

• Associate’s degree in nursing, health information management, or related field

Experience:

• Required
  • Three years of experience coding and/or auditing

Certification/Licensure:

• Required
  • Certified Professional Coder (CPC) or Certified Coding Specialist (CCS)
    • Required within one (1) year of start date