Cedars-Sinai · 2 weeks ago
Revenue Auditor (Heart Institute)
Cedars-Sinai is a renowned medical institution recognized for excellence in patient care. The Revenue Auditor Service Line is responsible for auditing medical records, ensuring accurate billing, and performing reconciliations to maximize revenue for the Heart Institute.
CommunitiesHealth CareMedicalNon Profit
Responsibilities
Daily review and clear 40 – 50 accounts (sophisticated diagnostic and therapeutic procedures)
Daily follow-up with providers, clinical staff, the Coding department, Billing Compliance, and Revenue Integrity
Review and create a daily statistical log of all patients, procedures, and participants. Monitor and track all unbilled services by providers and follow through with each provider accordingly
Performs daily, weekly, and monthly reconciliation of technical and professional services rendered by the department providers against charges posted/billed by PBS to ensure maximum revenue
Performs quality assurance reviews of account documentation or account adjustments and provides findings to management staff as needed. Makes monthly observations and recommendations to prevent future cash losses
Coordinates and reports audit outcome regarding charge errors, percentage of savings or losses, data processing errors, the performance of hospital charging system, and documentation
Conducts fact-finding, organizes, and presents information in a manner that facilitates patient account management system process, troubleshooting and improvement efforts
Investigates any appearance of production anomalies and initiates or coordinates action to resolve identified issues or difficulties
Performs recurring data compilations from varied sources to inform management team of receivable status
Coordinates or monitor progress of special projects related to resolving identified accounts receivable concerns
Serves as co-administrator of patient accounting system applications that enable automated work-listing and adjusting of accounts
Responsible for auditing clinic charge capture in department
Prepares the monthly Accounts Receivable (AR) valuation report and assists with AR reduction projects as requested
Participates in month-end impact projects, such as identification of accounts missing contractual adjustment and calculating and posting missing adjustments
Coordinates and/or monitors progress of special projects related to resolving charge capture and accounts receivable concerns
Serves as liaison between the department’s team and Professional Billing Services (PBS)
Qualification
Required
High school diploma/GED required
A minimum of one year of charge auditing experience required
Coding experience a plus
Preferred
Associate's degree or college diploma with courses in business, accounting, computer operation and applications preferred
Three years of charge auditing experience preferred
Benefits
Paid time off
Healthcare
403(b)
Health, vision, dental and life and insurance
Company
Cedars-Sinai
Since its beginning in 1902, Cedars-Sinai has evolved to meet the healthcare needs of one of the most diverse regions in the nation, continually setting new standards for quality and innovation in patient care, research, teaching and community service.
H1B Sponsorship
Cedars-Sinai has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (105)
2024 (91)
2023 (81)
2022 (92)
2021 (92)
2020 (65)
Funding
Current Stage
Late StageTotal Funding
$63.31MKey Investors
American Academy of Orthopaedic SurgeonsCalifornia HealthCare FoundationNational Heart, Lung and Blood Institute
2023-12-01Grant· $0.01M
2023-05-25Grant· $28M
2022-06-16Grant· $7M
Leadership Team
Recent News
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