Revenue Integrity Auditor: Healthcare Coding Expert

University-of-California,-Irvin; Irvine (CA); On-site; USD 95,000 - 125,000; Full time

Job summary

UCI Health 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 current coding certifications (CPC/COC/AHIMA), with 5+ years in hospital billing/auditing and strong knowledge of ICD-10-CM, CPT, and DRG/APC concepts. Strong communication and teamwork are essential.

Qualifications

• Five years’ hospital/physician billing experience.
• Five years’ auditing experience in acute care hospital and academic institution.
• Knowledge of ICD-10-CM & CPT coding conventions.

Responsibilities

• Perform comprehensive Revenue Cycle audit reviews and identify risks.
• Prepare audit reports quantifying impacts on gross and net revenue.
• Provide feedback and education to clinical and billing staff on coding and claim requirements.

Skills

Excel

Word

PowerPoint

Coding Certifications

CMS payer rules

Health information systems

DRG/APC knowledge

Auditing

Communication skills

Team leadership

Tools

Audit software

Job description

UCI Health 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 current coding certifications (CPC/COC/AHIMA), with 5+ years in hospital billing/auditing and strong knowledge of ICD-10-CM, CPT, and DRG/APC concepts. Strong communication and teamwork are essential.