The Revenue Cycle Auditor reviews medical records and billing information before and after payments and denials to ensure accurate charges and proper billing. The role helps resolve billing and coding issues, supports audits, and educates staff on billing practices.
- Audit claims and medical records using Revenue Guardian and billing software
- Resolve billing and coding issues, including denials
- Support internal and external audits and special projects
- Develop and update billing and revenue policies
- Monitor industry trends and advise on potential impacts
- Educate staff and managers on billing and revenue topics
- Ensure compliance with state and federal regulations
- Assist with staff training and development
- Work with billing and clinical teams to improve practices
Requirements & Qualifications
- High school diploma or GED required; vocational training in medical office administration preferred
- Three years of experience in hospital business office billing, coding, or reimbursement
- CPT/ICD-10 certification through AAPC or AHIMA required
- Strong knowledge of ICD and CPT application and correct practices
- Knowledge of computer software such as Microsoft Office
- Ability to develop procedures and training materials
- Experience with HIM, billing systems, denials, and financial analysis
- Ability to read and interpret documents, medical records, and related legislation
Location
Tucson, Arizona, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
3 months ago
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