Revenue Cycle Auditor

Description

We are seeking a detail-oriented and proactive Revenue Cycle Management Auditor and Billing Liaison to join our team. This dual-role position is essential in ensuring the accuracy and efficiency of our revenue cycle processes, while also serving as the primary point of contact between the billing department and other stakeholders. The ideal candidate will perform comprehensive audits, analyze financial data, and facilitate effective communication to streamline billing operations and enhance overall revenue cycle performance.

 Key Responsibilities:

• Conduct Audits:
  • Perform in-depth audits of billing, coding, and reimbursement processes to ensure accuracy and compliance.
  • Review and analyze claims for potential discrepancies and errors.
  • Identify areas of improvement within the revenue cycle processes and recommend corrective actions.
• Analyze Data:
  • Analyze financial and operational data to identify trends and areas for process improvement.
  • Evaluate current revenue cycle processes to ensure effectiveness and compliance with regulations.
  • Provide actionable insights based on data analysis to enhance financial performance.
• Compliance and Risk Management:
  • Ensure adherence to federal, state, and local regulations, including HIPAA and other healthcare standards.
  • Identify and mitigate risks associated with revenue cycle activities.
  • Stay informed about changes in healthcare regulations and payer requirements.
• Billing Liaison Responsibilities:
  • Act as the main point of contact between the billing department and internal/external stakeholders.
  • Communicate and resolve billing issues and discrepancies with healthcare providers, patients, and insurance companies.
  • Facilitate effective communication between the billing department and other departments to streamline operations and address concerns.
• Report Findings:
  • Prepare and present comprehensive audit reports to management, highlighting key findings and recommendations.
  • Work closely with finance and billing teams to implement improvements based on audit results.
• Training and Education:
  • Provide training and support to staff on best practices in billing, coding, and compliance.
  • Educate team members on changes in payer policies, regulatory requirements, and billing processes.
• Continuous Improvement:
  • Participate in continuous improvement initiatives to enhance revenue cycle efficiency.
  • Collaborate with cross-functional teams to implement process improvements and drive financial success.

Requirements

Education:

• Bachelor’s degree in Healthcare Administration, Finance, Accounting, or a related field preferred.
• Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification preferred.
• Candidates with substantial relevant experience in revenue cycle management or billing may be considered in lieu of the formal educational requirements.

Experience:

• Minimum of 2-4 years of experience in revenue cycle management, medical billing, or healthcare auditing.
• Strong understanding of medical billing, coding, and reimbursement processes.
• Experience with electronic health records (EHR) and revenue cycle management systems.

Skills:

• Excellent analytical and problem-solving skills.
• Strong attention to detail and organizational abilities.
• Proficiency in Microsoft Office Suite, particularly Excel.
• Effective communication and interpersonal skills.
• Ability to work independently and as part of a team.
• Strong customer service skills and the ability to manage relationships with various stakeholders.

Compensation & Benefits

We are pleased to share the annual base range for this position is $20-$24/hour.

If you are hired at Goodside Health, your compensation will be determined based on factors that may include geographic location, skills, education, and experience.

In addition to these factors, we believe in the importance of pay equity and consider the internal equity of our current team members as a part of any offer. In the spirit of pay transparency, the range listed is the full base salary range for the role, and hiring at the top of the range would not be typical to allow for future salary growth. 

All full-time staff members are