Revenue Cycle Audit Coordinator
On-siteWarrensburg, Missouri, United States
Job Summary
Coordinate incoming medical record requests from insurance companies, government agencies, and auditors by prioritizing them based on payer deadlines and financial impact. Retrieve complete documentation from the electronic health record, verify legibility and completeness, and submit records via secure portals, fax, or certified mail while maintaining a tracking log. Monitor audit status through completion, follow up on outstanding requests, and notify leadership of high-dollar audits or reimbursement risks. Maintain compliance with HIPAA and CMS requirements, ensuring all protected health information is released only to authorized entities. Assist in preparing reports on audit statistics, turnaround times, and dollars at risk.
Required Qualifications
- High school diploma or equivalent
- Ability to sit and stand, intermittent 8 to 10 hours a day
- Must be able to use standard office equipment, including the telephone and computer keyboard
- Continuously utilizes manual/bi-manual dexterity, near vision, speech, and hearing
- Frequently stands, walks, sits and utilizes eye/hand coordination and color definition
- Occasionally reaches above shoulder, regularly required to lift and/or carry up to 40 lbs
- Occasionally walks on uneven surfaces
Desired Qualifications
- Two years of experience in healthcare revenue cycle, patient financial services, health information management, or medical records preferred
- Experience with insurance audits, RAC audits, ADRs, pre-payment reviews, or payer documentation requests preferred
- Experience using an electronic health record
- Knowledge of healthcare reimbursement processes
- Knowledge of HIPAA and release of information requirements
- Understanding of payer audit processes
- Strong organizational skills
- Excellent written and verbal communication
- Ability to prioritize multiple deadlines
- Attention to detail
- Proficiency in Microsoft Office applications
- Ability to work collaboratively across multiple departments
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