Revenue Optimization Auditor

🔥 3 minutes ago

🐊 Florida – Remote

🐊 Florida – Remote

💵 $58k - $78k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💰 Pricing Analyst

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

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

• Audit medical records to identify missed charges, incorrect coding, and other inconsistencies resulting in missed billing opportunities • Perform Root Cause Analyses and report findings on over-coding, under-coding, and missed billing opportunities • Retrieve missing patient information and documentation required for billing • Complete coding of unbilled records identified through audits • Prepare reports, executive summaries, and audit-finding examples for presentation and educational purposes • Assist with Clinical Documentation recommendations, coding guidance research, and development of coding educational documents • Conduct ad-hoc audits and provide root cause analysis and recommendations for resolution • Review billing versus documentation for pre-payment audits, send documentation to payers, complete charge corrections, and identify CDI opportunities • Resolve missing documentation tasks through document retrieval or requests, billing coding, and data entry • Provide coding support to cross-functional team inquiries and special projects • Conduct audits and review clinical documentation to ensure proper charge capture and compliant billing • Assist with coding/billing issue resolution, external/internal audit requests, payer audits, and special projects

🎯 Requirements

• 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 including basic formulas, concatenate, VLOOKUP, and pivot tables • Previous coding experience within Anesthesia or General Surgery preferred • Clinical Documentation compliance and regulatory requirements preferred

🏖️ 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