Senior Auditor, Revenue Optimization (Remote)

NAPA Management Services Corporation; United States; Remote; USD 63,000 - 87,000; Full time

Benefits offered by this job

Paid Time Off

Health, life, vision, dental, and AD&D

Flexible Spending Accounts/Health SAV

401(k)

Leadership and professionalDevelopment

Job summary

North American Partners in Anesthesia is seeking a Senior Auditor, Revenue Optimization to lead daily audit activities and guide auditors in anesthesia coding and documentation practices. The role emphasizes data-driven reviews, QA, and revenue integrity initiatives.

You will analyze audits, present findings to management, and mentor staff while working from a remote-friendly, on-site environment supporting cross-functional teams.

Qualifications

• High school diploma or equivalent required.
• Current CPC or CCS certification, plus CPMA, CANPC, or an equivalent professional auditing or anesthesia coding certification.
• Minimum of 5 years of professional medical coding, auditing, revenue integrity, or revenue cycle experience, including significant experience auditing anesthesia services.
• Advanced knowledge of anesthesia coding, billing, documentation, and reimbursement requirements.
• Demonstrated ability to interpret and apply CPT, ASA Crosswalk, ICD-10-CM, HCPCS, payer requirements, CMS guidance, and other applicable coding and billing regulations.
• Demonstrated experience performing coding, documentation, revenue optimization, or compliance-focused audits.
• Strong analytical skills with the ability to evaluate complex information, identify trends and root causes, and translate findings into actionable recommendations.
• Demonstrated ability to provide technical guidance, coaching, training, and constructive feedback to peers and team members.
• Strong written and verbal communication skills, including the ability to communicate complex audit and coding concepts clearly to technical and non-technical audiences.
• Strong organizational and time-management skills with the ability to manage competing priorities, meet deadlines, and support multiple concurrent audit activities.
• Demonstrated sound judgment, professionalism, discretion, and ability to appropriately elevate operational or compliance concerns.
• Proficiency with Microsoft Excel and other Microsoft Office applications; ability to work effectively with audit, reporting, revenue cycle, and data analytics systems.
• Ability to work independently in a remote environment while maintaining effective communication and collaboration with team members, leadership, and cross-functional stakeholders.

Responsibilities

• Provide day-to-day functional leadership and technical support to Revenue Optimization Auditors.
• Serve as SME for audit processes, coding and billing questions, and departmental policies.
• Perform and support complex revenue optimization audits, including coding, billing, and documentation.
• Conduct quality assurance reviews of auditor work and provide feedback to management.
• Develop, review, and present audit results and supporting examples to management.
• Utilize data analytics tools to identify patterns and revenue integrity concerns.
• Coach, educate, and guide auditors and stakeholders on audit findings and guidelines.
• Support onboarding and workflow training for new hires.
• Promote continuous process improvement and standardized workflows.
• Coordinate meetings and escalate issues as needed.

Skills

Auditing expertise

Data analysis

CPT ICD-10-CM knowledge

Communication skills

Team leadership

Excel proficiency

Education

High school diploma or equivalent

CPC or CCS certification

CPMA or CANPC certification

Job description

Sunrise,FL - USA

Position Requirements ACTIVITY / RESPONSIBILITY

Team Leadership & Operational Support

Provide day-to-day functional leadership and technical support to Revenue Optimization Auditors. Serve as a primary Subject Matter Expert (SME) for audit processes, coding and billing questions, departmental policies, and workflow requirements. Provide guidance on complex cases, support workload coordination, reinforce departmental expectations, and elevate significant operational, performance, or compliance concerns to the Manager as appropriate.

Revenue Optimization Auditing

Perform and support complex revenue optimization audits, including coding, billing, documentation, revenue integrity, and other assigned audit activities. Evaluate records for accuracy, completeness, and adherence to applicable requirements while identifying under-coding, over-coding, missed billing opportunities, documentation deficiencies, and other potential revenue or compliance concerns.

Quality Assurance

Conduct scheduled quality assurance reviews of auditor work to evaluate accuracy, consistency, documentation, and adherence to established audit methodology, policies, and procedures. Provide timely and constructive feedback, identify trends requiring additional education or process clarification, and communicate significant findings to management.

Reporting & Recommendations

Develop, review, and present audit results and supporting examples to management and other stakeholders. Summarize key findings, revenue opportunities, coding and documentation trends, compliance considerations, root causes, and recommended corrective or preventive actions.

Data Analysis & Revenue Integrity

Utilize available reporting and data analytics tools to analyze audit populations and large datasets, identify patterns and anomalies, and evaluate potential revenue integrity concerns, including under-coding, over-coding, missed charges, documentation deficiencies, and other billing opportunities or risks.

Education & Staff Development

Provide coaching, education, and technical guidance to Auditors, Coders, Physicians, and other stakeholders, as appropriate, regarding audit findings, coding guidelines, documentation requirements, revenue cycle processes, and identified opportunities for improvement.

New Hire Training & Onboarding

Support the onboarding and development of newly hired Revenue Optimization Auditors by providing workflow training, technical instruction, mentoring, case review, and ongoing feedback to promote successful transition into independent audit responsibilities.

Process Improvement

Promote continuous improvement by identifying opportunities to strengthen audit methodology, standardize workflows, improve quality and efficiency, enhance reporting, and optimize revenue cycle outcomes. Participate in departmental initiatives and special projects as assigned.

Meetings, Escalations & Operational Coordination

Coordinate and participate in team, departmental, and management meetings; communicate relevant operational updates; support resolution of escalated issues; and assist the Manager with departmental priorities, coverage needs, and other operational responsibilities as assigned.

REQUIRED QUALIFICATIONS

• High school diploma or equivalent required.
• Current CPC or CCS certification, plus CPMA, CANPC, or an equivalent professional auditing or anesthesia coding certification.
• Minimum of 5 years of professional medical coding, auditing, revenue integrity, or revenue cycle experience, including significant experience auditing anesthesia services.
• Advanced knowledge of anesthesia coding, billing, documentation, and reimbursement requirements.
• Demonstrated ability to interpret and apply CPT, ASA Crosswalk, ICD-10-CM, HCPCS, payer requirements, CMS guidance, and other applicable coding and billing regulations.
• Demonstrated experience performing coding, documentation, revenue optimization, or compliance-focused audits.
• Strong analytical skills with the ability to evaluate complex information, identify trends and root causes, and translate findings into actionable recommendations.
• Demonstrated ability to provide technical guidance, coaching, training, and constructive feedback to peers and team members.
• Strong written and verbal communication skills, including the ability to communicate complex audit and coding concepts clearly to technical and non-technical audiences.
• Strong organizational and time-management skills with the ability to manage competing priorities, meet deadlines, and support multiple concurrent audit activities.
• Demonstrated sound judgment, professionalism, discretion, and ability to appropriately elevate operational or compliance concerns.
• Proficiency with Microsoft Excel and other Microsoft Office applications; ability to work effectively with audit, reporting, revenue cycle, and data analytics systems.
• Ability to work independently in a remote environment while maintaining effective communication and collaboration with team members, leadership, and cross-functional stakeholders.

DESIRED/PREFERRED QUALIFICATIONS

• Prior experience serving as a team lead, senior auditor, subject matter expert, trainer, or similar functional leadership role
• Experience conducting internal and/or external coding audits, revenue optimization audits, payer audits, or revenue integrity reviews.
• Experience developing audit reports, presenting findings to leadership, and providing education based on audit results.
• Experience analyzing audit data and identifying systemic revenue, coding, documentation, or workflow trends.

Total Rewards

• Salary: $63,000 - $87,000 annually
• Paid Time Off
• Health, life, vision, dental, disability, and AD&D insurance
• Flexible Spending Accounts/Health Savings Accounts
• 401(k)
• Leadership and professional development opportunities

The Senior Auditor, Revenue Optimization – Pod Captain serves as a senior subject matter expert and day-to-day functional leader within the Revenue Optimization Audit team. This role provides operational guidance, technical support, quality oversight, and coaching to Revenue Optimization Auditors while supporting the Manager in ensuring audit activities are completed accurately, consistently, and in accordance with departmental standards and applicable coding, billing, and regulatory requirements. The Pod Captain serves as a primary escalation resource for complex audit, coding, documentation, and workflow questions and assists with workload coordination, team development, onboarding, quality assurance, and process improvement initiatives. The position also performs and supports complex revenue optimization audits and uses audit findings and data analysis to identify revenue opportunities, compliance risks, documentation trends, and opportunities for operational improvement.

EEO Statement

North American Partners in Anesthesia is an equal opportunity employer. North American Partners in Anesthesia (NAPA) has evolved through more than 30 years to become a leader in anesthesia and perioperative services. Single specialty and clinician led, we remain committed to our mission of delivering exceptional patient experiences, every day. At NAPA, we cultivate leaders, promote work-life balance, and celebrate diversity. We know your success promotes our success, and we give you the tools and programs to achieve your goals. With flexibility, a collegial and collaborative environment, a wide range of market-leading benefits, and career opportunities from coast-to-coast, your future is waiting at NAPA.