Revenue Cycle Auditor

$18,000 - $18,000/Yr

CommonSpirit Health - Phoenix, AZ

Full-time - Mid Level

Phoenix, AZ

501-1,000 employees

Hospitals

About the position

The Revenue Cycle Auditor at Dignity Health Medical Group is responsible for monitoring the quality of work performed within the Business Office, ensuring compliance with the mission and philosophy of CommonSpirit Health. This role involves conducting comprehensive audits to verify the accuracy of revenue cycle staff actions, managing multiple tasks and deadlines, and providing timely feedback to staff regarding audits and process improvements.

Responsibilities

• Monitor the quality of work performed within the Business Office.
• Conduct comprehensive audits to verify the accuracy of revenue cycle staff actions.
• Research and analyze accounts thoroughly, including direct contact with payors.
• Provide timely and organized feedback regarding audits and staff development.
• Identify opportunities for process improvement within the department.
• Maintain and track audit scores within expected turnaround time.
• Work directly with department supervisors to ensure compliance with billing regulations.

Requirements

• High School Diploma or GED
• 5-7 years experience in a professional medical billing office
• 3 years experience in a multi-specialty medical group
• Knowledge of physician billing regulations
• Understanding of professional claims and billing procedures
• Knowledge of Federal and State regulations applicable to Government and Insurance Collections
• Excellent written and verbal communication skills
• Results-oriented attitude with good interpersonal abilities
• Ability to work independently
• Working knowledge of computers and proficiency in Google applications, Internet, and Payer websites
• Working knowledge of IDX and Cerner
• Certified Professional Coder (CPC) or Certified Professional Medical Auditor (CPMA)

Nice-to-haves

• Previous auditing experience
• Certified Professional Biller

Benefits

• Health insurance
• Dental insurance
• Vision insurance
• Flexible Spending Account (FSA)
• Matching retirement plans
• Paid vacation
• Adoption assistance
• Education Benefit program for debt relief and student loan assistance