Revenue Integrity Auditor - Full-Time - Hybrid
HybridLas Cruces, New Mexico, United States
Job Summary
Monitor DNFB and coding holds reports daily, prioritizing high-dollar and aging accounts to minimize denials and reduce days in DNFB. Coordinate with ancillary departments, HIM, and clinical teams to resolve outstanding issues preventing claims from billing and obtain missing documentation. Collaborate with Coding Managers to return accounts to processing queues and prepare weekly corporate reports detailing coding holds and top physicians with outstanding documentation. Participate in weekly unbilled calls, track alert days, and submit daily trending reports to leadership. Serve as a resource for hospital departments to ensure documentation meets billing requirements and act as backup for HIM leadership when necessary.
Required Qualifications
- Bachelor's Degree in Accounting, Finance, Health Information Management, Business Administration, or related field
- Four (4) plus years of direct experience
- 2-4 years of recent experience in Health Information Management, coding, or revenue cycle operations
- Strong understanding of billing workflows, HIM operations, and revenue cycle processes
- Proficiency in using DNFB, coding, and billing systems, as well as Microsoft Office (Excel, Word)
- Excellent organizational and time-management skills with attention to detail
- Ability to work independently with minimal supervision
- Strong written and verbal communication skills
- Ability to analyze account data and trends to proactively identify delays and resolution pathways
- Certified Professional Coder (CPC)
- CCS-Certified Coding Specialist
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