California Licensed Revenue Cycle Auditor

Job Summary

The full-time California Licensed Revenue Cycle Auditor will conduct independent compliance and risk-based reviews of healthcare activities, ensuring accuracy in medical record documentation, coding, and billing, while providing educational training to staff remotely.

Key responsibilities:

• Perform comprehensive reviews of healthcare records for revenue cycle billing compliance, including medical necessity and coding guidelines
• Produce detailed audit finding reports that identify areas for educational opportunities and improvement recommendations
• Coordinate and conduct training sessions for coders, billers, and physicians based on audit outcomes and documentation requirements

Required qualifications:

• Associate's/Technical Degree or equivalent combination of education and experience
• Five years of experience in healthcare coding for inpatient, outpatient, or professional fee services
• Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) certification required
• Experience in auditing within clinic and/or facility revenue cycles preferred
• Knowledge of CPT, HCPCS, ICD-10-CM, and ICD-10-PCS coding guidelines