Senior Anesthesia Revenue Integrity Auditor

Shriners Children's

Tampa (FL)

On-site

USD 65,000 - 90,000

Full time

14 days+

Application generator

Turn this role into an interview — a resume and cover letter built around what this employer wants.

Get past ATS filters

Benefits offered by this job

Comprehensive benefits

Job summary

Shriners Children’s in Tampa, FL is seeking an Anesthesia Auditor to perform systematic reviews of anesthesia records, verify signatures, ensure CMS and Joint Commission compliance, and support quality assurance. You will collaborate with billing, compliance, and clinical teams, review audits across facilities, and educate staff on billing and regulatory matters.

This role emphasizes precise documentation, HIPAA compliance, and ongoing education across hospital, ambulatory, and outpatient

Qualifications

Minimum of 5 years’ experience in medical chart review, medical auditing, or clinical documentation.
Functional knowledge of DRG and CPT coding systems.
Proficiency with Epic EMR.
Bachelor's Degree in Nursing, HIM, or related healthcare field - in lieu of degree, equivalent experience of at least 5 years in auditing and monitoring may be substituted for a degree.

Responsibilities

Comprehensive review of anesthesia records to ensure documentation accuracy and completeness.
Verify that required provider signatures are present on the documentation.
Maintain adherence to CMS, Joint Commission, and billing requirements; identify state-specific compliance needs.
Detect gaps in documentation and ensure completion and signature requirements are met.
Monitor, track, and report recurring errors to support process improvements.
Collaborate with billing, compliance, and clinical departments to address documentation and regulatory needs.
Ensure secure handling of medical records in HIPAA-compliant manner.
Conduct audits across Hospital, Ambulatory Surgery Center, and Outpatient Clinic settings to verify charges and orders.
Execute special audits and summarize results for leadership; coordinate education as needed.
Analyze billing and compliance issues with respect to federal/state regulations and payer guidelines.
Deliver targeted education on billing and compliance using webinars, bulletins, SHINE modules, and other tools.