Revenue Integrity Auditor, Post-Payment & Appeals

HealthPartners; Minneapolis (MN); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Retirement program

Time away from work

Tuition reimbursement

Employee assistance program

Job summary

HealthPartners is seeking a Patient Financial Services Post Payment Audit Specialist to join our team. In this role you will collaborate with internal departments, payers, and vendors to manage audit and denial activities, ensure timely documentation, and support revenue integrity.

You will work on RAC, ADR, CERT and other regulatory requests, review medical records, and develop compelling appeal documentation. Strong attention to detail and knowledge of Medicare guidelines are essential.

Qualifications

• 3–5 years healthcare revenue cycle experience (billing, coding, denials).
• Experience with RAC/ADR/CERT audits and regulatory requirements.
• Strong knowledge of revenue cycle operations and payer guidelines.
• Ability to interpret clinical documentation and coding for appeals.
• Proficient with EMR systems (Epic), payer portals, and MS Office.
• Excellent written/verbal communication and cross-functional collaboration.
• Maintain documentation accuracy and timely responses.

Responsibilities

• Coordinate audit and denial-related activities across departments and payers.
• Compile, submit, and track documentation within filing deadlines.
• Review medical records and develop appeal documentation.
• Monitor RAC, ADR, CERT requests and ensure timely responses.
• Identify denial trends and root causes to drive process improvements.
• Collaborate with Utilization Management, Coding, HIM, Compliance, Finance, and Audit teams.
• Maintain accurate action documentation in systems.

Skills

Revenue cycle knowledge

Payer guidelines

Audit & denial management

Regulatory compliance

Communication skills

Cross-functional collaboration

Education

Bachelor's degree in Healthcare Administration, Business, Finance, Nursing, or related field

Advanced RAC/ADR/CERT experience

Tools

Epic EMR

Payer portals

Microsoft Office

Job description

HealthPartners is seeking a Patient Financial Services Post Payment Audit Specialist to join our team. In this role you will collaborate with internal departments, payers, and vendors to manage audit and denial activities, ensure timely documentation, and support revenue integrity.

You will work on RAC, ADR, CERT and other regulatory requests, review medical records, and develop compelling appeal documentation. Strong attention to detail and knowledge of Medicare guidelines are essential.