What are the responsibilities and job description for the Revenue Integrity Auditor position at Shannon Health?
Job Summary
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.
Qualifications
Education
Required
High School Diploma, GED, or equivalent
Preferred
Associate's degree in nursing, health information management, or related field
Experience:
Required
Three years of experience coding and/or auditing
Certification/Licensure:
Required
Certified Professional Coder (CPC) or Certified Coding Specialist (CCS)
Preferred
Certified Professional Medical Auditor