Revenue Integrity & Post-Payment Audit Specialist

UMC Health System; Richmond (KY); On-site; USD 55,000 - 75,000; Full time

Job summary

UMC Health System in Kentucky is seeking a detail‑oriented professional to manage post‑payment audits and ensure revenue integrity across payer processes, including RAC and third‑party denials.

You will oversee chargemaster maintenance, address hold bills, and collaborate with hospital departments to resolve issues, document findings and drive process improvements while maintaining compliance and high service standards.

Qualifications

• College degree or equivalent experience required.
• Medical and insurance terminology knowledge preferred.
• Experience in patient accounting preferred.

Responsibilities

• Manage post-payment audits including RAC and third-party denials.
• Oversee chargemaster creation and maintenance.
• Handle hold bills as they relate to revenue integrity.

Skills

Verbal and written communication

Basic accounting

Customer relations

Healthcare payer rules

Education

College degree in business related field or equivalent experience

Medical and insurance terminology

Previous experience in patient accounting preferred

Job description

UMC Health System in Kentucky is seeking a detail‑oriented professional to manage post‑payment audits and ensure revenue integrity across payer processes, including RAC and third‑party denials.

You will oversee chargemaster maintenance, address hold bills, and collaborate with hospital departments to resolve issues, document findings and drive process improvements while maintaining compliance and high service standards.