Revenue Optimization Auditor (Remote)

North American Partners in Anesthesia; Florida; Remote; USD 58,000 - 78,000; Full time

Benefits offered by this job

Paid time off

Health insurance

Life insurance

Vision

Dental

Disability

AD&D

FSA/HSA

401(k)

Professional development

Job summary

North American Partners in Anesthesia is seeking an Auditor, Revenue Optimization to enhance charge capture and ensure compliant billing practices. The role focuses on auditing clinical documentation and coding accuracy across records to identify missed opportunities.

Responsibilities include root cause analyses, education material creation, and collaboration on payer audits and special projects. This position requires credentials and strong EMR experience in a fast-paced environment.

Qualifications

• Minimum 3 years of medical coding experience.
• Approved coding credential (AAPC or AHIMA) required.
• Must obtain CANPC or CPMA within 1 year.

Responsibilities

• Audit medical records to identify missed charges and coding inconsistencies.
• Perform root cause analyses and report findings.
• Retrieve missing patient information for billing.
• Complete coding of unbilled records identified by audits.
• Prepare executive summaries and audit examples for education.
• Provide coding support to cross-functional teams and special projects.
• Conduct pre-payment audits and identify CDI opportunities.

Skills

Coding experience

CMS knowledge

Revenue Cycle

Education

AAPC or AHIMA credential

Tools

Microsoft 365

Excel

EMR systems

Billing software

Job description

Sunrise,FL - USAPosition RequirementsRESPONSIBILITIESAudit medical records to identify missed charges, incorrect coding, and other inconsistencies that result in missed billing opportunities.Perform Root Cause Analyses and report findings that identify common issues, including over-coding, under-coding and missed billing opportunities.Retrieves any missing patient information and documentation required for billing.Complete coding of unbilled records identified through audits.Prepare reports, executive summaries, and examples of audit findings for presentation and educational purposes.Assist with Clinical Documentation recommendation, coding guidance research, and the development of coding educational documentsConduct ad-hoc audits as needed to provide root cause analysis and recommendations for resolution.Pre-payment audit: review billing vs documentation, send documentation to the payer, complete necessary charge corrections, and/or identify CDI (Clinical Documentation Improvement) opportunitiesProvide resolution of missing documentation tasks. Retrieve or request necessary documents, code for billing, and data entry.Provide coding support to cross-functional team inquiries and special projects.REQUIRED QUALIFICATIONSMinimum 3 years coding experience.Must have and maintain an approved coding credential through AAPC (American Academy of Professional Coders) or AHIMAMust have or obtain at least one additional certification (CANPC or CPMA), within 1 year of employment.Extensive knowledge of medical billing software and electronic medical records.Well-rounded knowledge of CMS requirements claims processing, billing/coding guidelines, and the Revenue Cycle process.Proficient PC skills, including Microsoft 365.Excel Proficiency to include basic formulas, concatenate, VLOOKUP, and pivot tables).PREFERRED QUALIFICATIONSPrevious coding experience within Anesthesia or General Surgery.Clinical Documentation compliance and regulatory requirements.Total Rewards:Salary: $58,000 - $78,000 annuallyGenerous benefits package, including:Paid Time OffHealth, life, vision, dental, disability, and AD&D insuranceFlexible Spending Accounts/Health Savings Accounts401(k)Leadership and professional development opportunitiesThe Auditor, Revenue Optimization is responsible for conducting audits and reviewing clinical documentation to ensure proper charge capture, billing in accordance with standard billing policies and compliance standards. This individual is responsible for assisting the team with resolution of coding/ billing issues, participating in external/internal audit requests, payer audits, and special projects as needed.EEO StatementNorth American Partners in Anesthesia is an equal opportunity employer.