Revenue Optimization Auditor (Remote) jobs in United States
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North American Partners in Anesthesia · 1 day ago

Revenue Optimization Auditor (Remote)

North American Partners in Anesthesia is seeking a Revenue Optimization Auditor responsible for conducting audits and reviewing clinical documentation. The role involves ensuring proper charge capture, resolving coding and billing issues, and participating in various audit requests and projects.

Health CareManagement Information Systems

Responsibilities

Audit medical records to identify missed charges, incorrect coding, and other inconsistencies that result in missed billing opportunities
Perform Root Cause Analyses and report findings that identify common issues, including over-coding, under-coding and missed billing opportunities
Retrieves any missing patient information and documentation required for billing
Complete coding of unbilled records identified through audits
Prepare reports, executive summaries, and examples of audit findings for presentation and educational purposes
Assist with Clinical Documentation recommendation, coding guidance research, and the development of coding educational documents
Conduct ad-hoc audits as needed to provide root cause analysis and recommendations for resolution
Pre-payment audit: review billing vs documentation, send documentation to the payer, complete necessary charge corrections, and/or identify CDI (Clinical Documentation Improvement) opportunities
Provide resolution of missing documentation tasks. Retrieve or request necessary documents, code for billing, and data entry
Provide coding support to cross-functional team inquiries and special projects

Qualification

Coding experienceAAPCAHIMA credentialMedical billing softwareCMS requirements knowledgeMicrosoft 365 proficiencyExcel proficiencyClinical Documentation complianceAnesthesia coding experienceGeneral Surgery coding experience

Required

Minimum 3 years coding experience
Must have and maintain an approved coding credential through AAPC (American Academy of Professional Coders) or AHIMA
Must have or obtain at least one additional certification (CANPC or CPMA), within 1 year of employment
Extensive knowledge of medical billing software and electronic medical records
Well-rounded knowledge of CMS requirements claims processing, billing/coding guidelines, and the Revenue Cycle process
Proficient PC skills, including Microsoft 365
Excel Proficiency to include basic formulas, concatenate, VLOOKUP, and pivot tables)

Preferred

Previous coding experience within Anesthesia or General Surgery
Clinical Documentation compliance and regulatory requirements

Benefits

Paid Time Off
Health, life, vision, dental, disability, and AD&D insurance
Flexible Spending Accounts/Health Savings Accounts
401(k)
Leadership and professional development opportunities

Company

North American Partners in Anesthesia

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North American Partners in Anesthesia (NAPA) is the leading single specialty anesthesia and perioperative management company.

Funding

Current Stage
Late Stage
Total Funding
unknown
2016-04-20Acquired

Leadership Team

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Rafael Cartagena
Chief Executive Officer
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John Bugos
Chief Financial Officer
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Company data provided by crunchbase