Revenue Integrity Auditor

Job Summary

A company is looking for a Revenue Integrity Auditor to ensure accurate medical coding and charge capture.

Key Responsibilities

• Validate missing charges, coding variances, and overcharges using technology and medical records
• Conduct quality control and analyze revenue leakage
• Perform claims/charge auditing and communicate findings to clients

Required Qualifications

• Comprehensive knowledge of medical terminology, anatomy, and physiology
• Understanding of CPT, ICD, HCPC, and modifier coding requirements
• Experience in quality control
• Ability to achieve and maintain client financial performance goals
• Skills in analysis and process improvement of hospital charges