Revenue Integrity Auditor - Business Office

Shannon Medical • San Angelo, TX

32d

About The Position

The Revenue Integrity Auditor ensures healthcare claims are accurate, compliant, and complete by auditing coding and billing processes, reviewing patient charts, and researching variances in payer policies and internal systems to improve financial performance and prevent revenue loss. Reports and educates audit findings to appropriate team members.

Responsibilities

• Audits E&Ms for Shannon providers in accordance with the Shannon Clinic Provider Documentation and Coding Compliance Audit Plan
• Report and educate providers on audit results
• Conduct audits of billing processes
• Ensure charge capture accuracy
• Maintain regulatory compliance
• Identify revenue leakage
• Manage denial resolution
• Collaborate with appropriate team members to improve documentation and resolve coding/charge issues
• Perform other duties as assigned.

What This Job Offers

• Education Level: No Education Listed