Certified Revenue Integrity Auditor

Job Summary

A company is looking for a Remote Revenue Integrity Auditor.

Key Responsibilities

• Perform detailed audits of medical records to ensure accuracy and compliance with billing regulations
• Oversee pre and post payment audit functions and maintain tracking systems for audit activities
• Establish workflows, policies, and procedures for interactions with third-party auditors

Required Qualifications, Training, and Education

• Bachelor's degree required, or 4 years of healthcare appeals experience in lieu of a degree
• Certification required in one of the following: CHRI, CPC, COC, Certified Professional Medical Auditor, Certified Coding Associate, Certified Coding Specialist, Registered Health Information Technician, or Registered Health Information Administrator
• 3 years of healthcare appeals experience required