Revenue Integrity Auditor - Healthcare Coding & Compliance Expert

UC Irvine; Irvine (CA); On-site; USD 70,000 - 110,000; Full time

Job summary

UC Irvine is seeking a Revenue Cycle Auditor to evaluate internal controls, coding accuracy and denial trends across hospital and professional billing. The role emphasizes regulatory and payer-compliance risk assessment and reporting.

Ideal candidates hold CPC/COC/AHIMA certifications, with 5+ years in hospital billing or auditing and strong knowledge of ICD-10-CM, CPT and DRG/APC concepts. Excellent communication and teamwork are essential to succeed in this role.

Qualifications

• Current coding certifications CPC/COC/AHIMA.
• 5+ years in hospital billing/auditing.
• Strong knowledge of ICD-10-CM, CPT, and DRG/APC concepts.
• Excellent communication and teamwork.

Responsibilities

• Evaluate internal controls and coding accuracy across hospital and professional billing.
• Assess denial trends and payer-regulatory risk.
• Prepare regulatory and payer-compliance reports.

Job description

UC Irvine is seeking a Revenue Cycle Auditor to evaluate internal controls, coding accuracy and denial trends across hospital and professional billing. The role emphasizes regulatory and payer-compliance risk assessment and reporting.

Ideal candidates hold CPC/COC/AHIMA certifications, with 5+ years in hospital billing or auditing and strong knowledge of ICD-10-CM, CPT and DRG/APC concepts. Excellent communication and teamwork are essential to succeed in this role.