Auditor Revenue Integrity

Overview

Performs internal audits of hospital accounts; processes routine insurance audits; audits accounts as requested by patients; performs audits of accounts to separate medical charges from elective cosmetic surgery procedures; manual charge entry/credit for Pharmacy discrepancies; charge correction and billing requirements for Medical Oncology accounts, provide written appeals for RAC and non-RAC denials.

Qualifications

Minimum Knowledge, Skills and Experience required:

Education: High school diploma or GED required. Alabama nursing license (RN or LPN) preferred. Prior clinical or coding experience will be considered in lieu of nursing license.

Experience:

• Minimum of 3 years experience in hospital clinical setting
• Patient Accounting
• Chargemaster
• coding
• compliance
• related field
• Proficient in use of Microsoft Word and Microsoft Excel
• Able to work in fast paced environment, requiring prioritizing and changing tasks frequently
• Effective communication skills with internal hospital departments, customers, and other external resources