Auditor II, Revenue Cycle

🔥 15 hours ago

🐊 Florida – Remote

🐊 Florida – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

🦅 H1B Visa Sponsor

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👻 Ghost score 13%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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North American Partners in Anesthesia

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

🛡️ Insurance

📦 Logistics

🏥 Healthcare

Insurance • Logistics • Healthcare

North American Partners in Anesthesia (NAPA) is a clinician-led organization that is redefining healthcare through exceptional anesthesia and perioperative management services. Founded in 1986, NAPA has grown to serve over 3 million patients annually in more than 500 healthcare facilities across the United States. The organization emphasizes high-quality care through innovative leadership development and customer service training, focusing on optimizing results for patients, surgeons, and healthcare administrators. NAPA stands out in the industry with its evidence-based practices, enhancing operational efficiency, safety, and patient satisfaction.

📋 Description

• Conduct comprehensive revenue cycle audits covering registration, coding, billing, and collections • Evaluate system performance, including billing system integrity, implementation outcomes, and maintenance of dictionaries and configurations • Support billing and charge correction reviews based on audit findings and track resolutions • Analyze claim workflows to identify root causes for delayed or inaccurate reimbursements • Work closely with cross-functional teams to troubleshoot and resolve system or interface-related errors • Analyze payer claim acknowledgment rejections with the Accounts Receivable department to identify root causes, recommend corrective actions, and ensure timely and accurate claims processing and payment • Audit coding accuracy and completeness and validate compliance with ICD-10, CPT, and HCPCS standards • Prepare technical audit reports, dashboards, and corrective action plans • Perform pre-correction reviews for the charge correction team to ensure accuracy and adherence to payer guidelines and NAPA policies • Identify billing errors, system inefficiencies, and compliance risks across the revenue cycle

🎯 Requirements

• Current Certified Professional Coder (CPC) from AAPC or AHIMA required or must be obtained within 1 year • 4–6 years of auditing or revenue cycle experience • Anesthesia specialization is highly preferred • Proficiency in claims, denial trends, and payer contract interpretation • Advanced understanding of revenue cycle processes, medical billing systems, and healthcare compliance standards • In-depth knowledge of healthcare billing systems (Athena, Epic, Cerner, or similar) • Advanced Excel skills • Familiarity with audit tools and data analytics platforms • Strong analytical thinking, attention to detail, and cross-functional collaboration skills

🏖️ Benefits

• Paid Time Off • Health insurance • Life insurance • Vision insurance • Dental insurance • Disability insurance • AD&D insurance • Flexible Spending Accounts/Health Savings Accounts • 401(k) • Leadership and professional development opportunities