Auditor, Revenue Integrity Auditing

Waystar

1d

About The Position

ABOUT THIS POSITION The Revenue Integrity Auditor has a comprehensive understanding of medical terminology, hospital inpatient and/or outpatient coding, charge capture, CDM, and medical records. WHAT YOU'LL DO Validate potential missing charges, coding variances and overcharges using proprietary technology and medical records Quality control Analyze revenue leakage Claims/Charge auditing with ability to professionally communicate findings to client Analysis and process improvement of hospital charges Achieve and maintain assigned Client financial performance goals Assist in prediction enhancements to increase verification rates Remain current on CPT, ICD, HCPC and modifier coding requirements WHAT YOU'LL NEED Knowledge of anatomy, physiology, and medical terminology Quality control skills Remain current on CPT, ICD, HCPC and modifier coding requirements ABOUT WAYSTAR Through a smart platform and better experience, Waystar helps providers simplify healthcare payments and yield powerful results throughout the complete revenue cycle. Waystar’s healthcare payments platform combines innovative, cloud-based technology, robust data, and unparalleled client support to streamline workflows and improve financials so providers can focus on what matters most: their patients and communities. Waystar is trusted by 1M+ providers, 1K+ hospitals and health systems, and is connected to over 5K commercial and Medicaid/Medicare payers. We are deeply committed to living out our organizational values: honesty; kindness; passion; curiosity; fanatical focus; best work, always; making it happen; and joyful, optimistic & fun. Waystar products have won multiple Best in KLAS® or Category Leader awards since 2010 and earned multiple #1 rankings from Black Book™ surveys since 2012. The Waystar platform supports more than 500,000 providers, 1,000 health systems and hospitals, and 5,000 payers and health plans. For more information, visit waystar.com or follow @Waystar on Twitter. WAYSTAR PERKS Competitive total rewards (base salary + bonus, if applicable) Customizable benefits package (3 medical plans with Health Saving Account company match) We offer generous paid time off for our non-exempt team members, starting with 3 weeks + 13 paid holidays, including 2 personal floating holidays. We also offer flexible time off for our exempt team members + 13 paid holidays Paid parental leave (including maternity + paternity leave) Education assistance opportunities and free LinkedIn Learning access Free mental health and family planning programs, including adoption assistance and fertility support 401(K) program with company match Pet insurance Employee resource groups Waystar is proud to be an equal opportunity workplace. We celebrate, value, and support diversity and inclusion. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, marital status, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. Waystar provides cloud-based technology that simplifies and unifies healthcare payments. Together, our technology, data and client support streamline workflows and improve financials for our clients, so that they can focus on their patients. We are deeply committed to living out our organizational values: honesty; kindness; passion; curiosity; fanatical focus; best work, always; making it happen; and joyful, optimistic and fun.

Requirements

• Knowledge of anatomy, physiology, and medical terminology
• Quality control skills
• Remain current on CPT, ICD, HCPC and modifier coding requirements

Responsibilities

• Validate potential missing charges, coding variances and overcharges using proprietary technology and medical records
• Quality control
• Analyze revenue leakage
• Claims/Charge auditing with ability to professionally communicate findings to client
• Analysis and process improvement of hospital charges
• Achieve and maintain assigned Client financial performance goals
• Assist in prediction enhancements to increase verification rates
• Remain current on CPT, ICD, HCPC and modifier coding requirements

Benefits

• Competitive total rewards (base salary + bonus, if applicable)
• Customizable benefits package (3 medical plans with Health Saving Account company match)
• We offer generous paid time off for our non-exempt team members, starting with 3 weeks + 13 paid holidays, including 2 personal floating holidays. We also offer flexible time off for our exempt team members + 13 paid holidays
• Paid parental leave (including maternity + paternity leave)
• Education assistance opportunities and free LinkedIn Learning access
• Free mental health and family planning programs, including adoption assistance and fertility support
• 401(K) program with company match
• Pet insurance
• Employee resource groups

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 1-10 employees