Revenue Integrity Auditor
Full Time; 80 Hours Per Pay Period
Position Summary: Performs complex level professional internal auditing work. Work involves leading or conducting process, financial, and compliance audit projects for Covenant Health entities as they relate to charging, coding, documentation and billing compliance. Also provides consulting services to the organization's management and staff and may coordinate requested investigations. Maintains all organizational and professional ethical standards and works with Covenant leaders to coach, mentor, and train department staff. Works independently under limited supervision with significant latitude for initiative and independent judgment. Reports to the Revenue Integrity Manager.
Must be sufficient to meet the standards for achievement of the below indicated license and/or certification as required by the issuing authority.
Three (3) to five (5) years' experience in health care. Good working knowledge of healthcare billing, Medicare/Medicaid billing guidelines, and other Third Party Payor rules and regulations. Experience in problem solving and analytical reviews. Must be knowledgeable in use of PC's, Windows, Excel and Word Processing. Must have good public relations skills.
Current clinical license/registration in the State of Tennessee or certification in field of healthcare related study. RHIT/RHIA/CPC or clinician with background in provider reimbursement, coding or utilization management preferred.
Posting ID: 559414059Posted: 2020-07-14