Senior Auditor, Revenue Optimization

Job not on LinkedIn

🔥 0 minutes ago

🐊 Florida – Remote

🐊 Florida – Remote

💵 $63k - $87k / year

⏰ Full Time

🟠 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

• Provide day-to-day functional leadership and technical support to Revenue Optimization Auditors • Serve as a primary Subject Matter Expert for audit processes, coding and billing questions, departmental policies, and workflow requirements • Provide guidance on complex cases, support workload coordination, reinforce departmental expectations, and escalate significant concerns to the Manager • Perform and support complex revenue optimization audits covering coding, billing, documentation, revenue integrity, and assigned audit activities • Evaluate records for accuracy, completeness, applicable requirements, under-coding, over-coding, missed billing opportunities, documentation deficiencies, and compliance concerns • Conduct scheduled quality assurance reviews of auditor work • Provide feedback, identify trends requiring education or process clarification, and communicate significant findings to management • Develop, review, and present audit results and supporting examples to management and stakeholders • Summarize findings, revenue opportunities, coding and documentation trends, compliance considerations, root causes, and corrective or preventive actions • Use reporting and data analytics tools to analyze audit populations and large datasets, identify patterns and anomalies, and evaluate revenue integrity concerns • Provide coaching, education, and technical guidance to Auditors, Coders, Physicians, and other stakeholders • Support onboarding and development of newly hired Revenue Optimization Auditors through workflow training, technical instruction, mentoring, case review, and feedback • Identify opportunities to strengthen audit methodology, standardize workflows, improve quality and efficiency, enhance reporting, and optimize revenue cycle outcomes • Coordinate and participate in team, departmental, and management meetings • Communicate operational updates, support resolution of escalated issues, and assist the Manager with priorities, coverage needs, and operational responsibilities • Serve as a senior subject matter expert and day-to-day functional leader within the Revenue Optimization Audit team

🎯 Requirements

• High school diploma or equivalent required • Current CPC or CCS certification, plus CPMA, CANPC, or an equivalent professional auditing or anesthesia coding certification • Minimum of 5 years of professional medical coding, auditing, revenue integrity, or revenue cycle experience, including significant experience auditing anesthesia services • Advanced knowledge of anesthesia coding, billing, documentation, and reimbursement requirements • Ability to interpret and apply CPT, ASA Crosswalk, ICD-10-CM, HCPCS, payer requirements, CMS guidance, and other applicable coding and billing regulations • Experience performing coding, documentation, revenue optimization, or compliance-focused audits • Strong analytical skills and ability to evaluate complex information, identify trends and root causes, and translate findings into actionable recommendations • Ability to provide technical guidance, coaching, training, and constructive feedback • Strong written and verbal communication skills • Strong organizational and time-management skills • Sound judgment, professionalism, discretion, and ability to appropriately escalate operational or compliance concerns • Proficiency with Microsoft Excel and other Microsoft Office applications • Ability to work effectively with audit, reporting, revenue cycle, and data analytics systems • Ability to work independently in a remote environment while maintaining effective communication and collaboration • Prior experience serving as a team lead, senior auditor, subject matter expert, trainer, or similar functional leadership role preferred • Experience conducting internal and/or external coding audits, revenue optimization audits, payer audits, or revenue integrity reviews preferred • Experience developing audit reports, presenting findings to leadership, and providing education based on audit results preferred • Experience analyzing audit data and identifying systemic revenue, coding, documentation, or workflow trends 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 • Remote work environment