Senior Integrity Auditor, Revenue Cycle Compliance

University Health; San Antonio (TX); On-site; USD 80,000 - 120,000; Full time

Benefits offered by this job

Competitive compensation

Benefits package

Job summary

University Health in San Antonio is seeking a Senior Integrity Auditor to strengthen our Compliance team. The role focuses on analytical auditing, monitoring activities, and supporting the Compliance Work Plan under the Chief Compliance/HIPAA Officer.

You will conduct audits across coding, billing, medical record documentation, claims, and clinical data, review revenue cycle controls, and generate detailed reports while maintaining integrity and confidentiality.

Qualifications

• Bachelor's degree preferred and professional certifications required (AAPC or AHIMA).
• Minimum of three years in audit functions, preferably in outpatient/ASC environments.
• Expert knowledge of ICD, CPT, HCPCS, DRG, APC, ASC payment methodologies and claims validation.

Responsibilities

• Perform audits in coding, billing, medical record documentation, claims, and clinical data.
• Review revenue cycle and internal controls to prevent/detect errors, fraud, waste, and abuse.
• Assist in audits/investigations with approval from Chief Compliance/HIPAA Officer.
• Generate detailed reports on findings and compliance concerns.
• Maintain relationships with stakeholders and uphold integrity and confidentiality.
• Champion compliance, accuracy, and ethical standards across the organization.

Skills

ICD, CPT, HCPCS coding classifications

DRG, APC, ASC payment methodologies

Claims validation reviews

Education

Bachelor's degree (preferred)

CPC, CPMA, CCS, RHIA, RHIT certifications

Job description

University Health in San Antonio is seeking a Senior Integrity Auditor to strengthen our Compliance team. The role focuses on analytical auditing, monitoring activities, and supporting the Compliance Work Plan under the Chief Compliance/HIPAA Officer.

You will conduct audits across coding, billing, medical record documentation, claims, and clinical data, review revenue cycle controls, and generate detailed reports while maintaining integrity and confidentiality.