Serving as a senior subject matter expert, the remote Senior Auditor, Revenue Optimization will provide operational leadership and technical support to auditors, conduct complex revenue optimization audits, and oversee quality assurance while ensuring compliance with coding and billing regulations.
Key responsibilities:
Lead and support Revenue Optimization Auditors by providing guidance on audit processes and addressing complex coding and billing questions
Perform complex revenue optimization audits and evaluate records for accuracy, completeness, and compliance with regulations
Conduct quality assurance reviews, provide feedback, and communicate significant findings to management and stakeholders
Required qualifications:
High school diploma or equivalent required
Current CPC or CCS certification, plus CPMA, CANPC, or equivalent auditing certification
Minimum of 5 years of experience in medical coding, auditing, or revenue cycle, with significant experience in auditing anesthesia services
Advanced knowledge of anesthesia coding, billing, and documentation requirements
Strong analytical skills with the ability to identify trends and translate findings into actionable recommendations