Revenue Integrity & Billing Compliance Auditor

Covenant Health; Oregon (WI); On-site; USD 80,000 - 100,000; Full time

Job summary

Covenant Health is seeking a Revenue Integrity Auditor to conduct audits related to compliance in billing, coding, and documentation. The ideal candidate will have 3-5 years of healthcare experience, strong knowledge of Medicare/Medicaid guidelines, and excellent analytical and problem-solving skills. Key responsibilities include auditing internal processes, communicating findings to management, and providing consultancy services. A clinical license in Tennessee or equivalent experience is preferred. This full-time position offers a focused day shift to enhance compliance and efficiency within the organization.

Qualifications

• Must have 3-5 years of experience in healthcare.
• Good knowledge of Medicare/Medicaid billing guidelines.
• Familiarity with analytical reviews and problem-solving.

Responsibilities

• Identify and evaluate company risk areas related to billing compliance.
• Perform research on charges and coding for adherence to guidelines.
• Communicate audit results effectively to management.

Skills

Healthcare billing knowledge

Analytical skills

Public relations skills

Problem-solving skills

Education

Clinical license/registration in Tennessee or relevant certification

Tools

PCs

Excel

Word Processing

Job description

Covenant Health is seeking a Revenue Integrity Auditor to conduct audits related to compliance in billing, coding, and documentation. The ideal candidate will have 3-5 years of healthcare experience, strong knowledge of Medicare/Medicaid guidelines, and excellent analytical and problem-solving skills. Key responsibilities include auditing internal processes, communicating findings to management, and providing consultancy services. A clinical license in Tennessee or equivalent experience is preferred. This full-time position offers a focused day shift to enhance compliance and efficiency within the organization.