Revenue Auditor

Revenue Cycle Coding Auditor – Remote Salary: $75,000-$80,000 annually LHH Recruitment Solutions is partnering with a company seeking an experienced Revenue Cycle Coding Auditor for a fully remote opportunity. This position will focus on auditing clinical documentation and medical records to ensure accurate coding, proper charge capture, compliant billing, and identification of missed revenue opportunities. The ideal candidate will have at least 3 years of medical coding experience, an active CPC or CCS coding credential, and strong knowledge of CMS guidelines, claims processing, and the overall revenue cycle.

Responsibilities

• Audit medical records for missed charges, coding errors, over-coding, under-coding, and other billing inconsistencies.
• Complete root cause analyses and identify opportunities to improve coding accuracy and revenue capture.
• Review clinical documentation to ensure appropriate billing and coding.
• Retrieve missing patient information and documentation required for billing.
• Code previously unbilled records identified through audits.
• Conduct pre-payment audits by comparing billing to supporting documentation and making necessary charge corrections.
• Identify Clinical Documentation Improvement (CDI) opportunities.
• Prepare audit reports, executive summaries, findings, and educational examples.
• Provide coding guidance and research coding-related questions.
• Assist with the development of coding and clinical documentation education materials.
• Resolve missing documentation issues and obtain necessary records for billing.
• Support internal and external audits, payer audits, special projects, and cross-functional team inquiries.

Qualifications

• Minimum 3 years of medical coding experience required.
• Current coding credential through CPC or CCS required.
• Strong knowledge of CMS requirements, claims processing, medical billing/coding guidelines, and Revenue Cycle operations.
• Experience with medical billing software and electronic medical records.
• Strong Microsoft 365 skills.
• Excel proficiency, including basic formulas, VLOOKUP, PivotTables, and CONCATENATE.

Preferred Experience

• Previous coding experience within Anesthesia and/or General Surgery.
• Knowledge of Clinical Documentation Improvement, compliance, and regulatory requirements.
• Previous auditing or revenue optimization experience.

Compensation & Benefits

• Paid Time Off
• Medical, dental, vision, life, disability, and AD&D insurance
• Flexible Spending and Health Savings Accounts
• 401(k)
• Leadership and professional development opportunities

Pay Details: $75,000.00 to $80,000.00 per year

Search managed by: Ginny Butindari

Equal Opportunity Employer/Veterans/Disabled

Military connected talent encouraged to apply

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• The California Fair Chance Act
• Los Angeles City Fair Chance Ordinance
• Los Angeles County Fair Chance Ordinance for Employers
• San Francisco Fair Chance Ordinance

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