*Revenue Integrity Auditor/Full Time/Hybrid

GENERAL SUMMARY:

Reporting to the Manager, Revenue Integrity, the Revenue Integrity Auditor must have a comprehensive understanding of medical terminology, coding, charge entry, and healthcare revenue cycle processes. The Revenue Integrity (RI) Auditor provides support for timely, accurate and inclusive charge capture, coding, billing functions and revenue routing, through evaluation and interpretation of payer updates, performance of record audits, work queue review, presentation of staff education and other related activities. The RI Auditor coordinates processes between clinical operations and revenue cycle departments ensuring that the accounts audited reflect proper documentation, charge capture, coding, and billing to support proper payment. The RI Auditor understands HFH payor contracts and reimbursement methodologies. Works collaboratively with Revenue Integrity staff to identify charge system weakness, recommends process improvement and other changes provides education, and tracks utilization. This position is integral to the Revenue Integrity Team to assist in ensuring patient services are supported by clinical documentation, appropriately coded, accurately charged, and the related revenue is recorded in the proper department.