Compliance and Revenue Integrity Auditor
Job Details
Pagosa Springs Medical Center - PAGOSA SPRINGS, CO
Optional Work from Home
Full Time
High School
$24.75 - $36.35 Hourly
Health Care

The Compliance and Revenue Integrity Auditor is responsible for completing internal audits by independently and objectively assessing internal controls utilizing a systematic approach to evaluate and improve the effectiveness of risk management, control and governance processes. Prepares audit work plan, completes audits, prepares audit reports to ensure any findings are mitigated. Identifies enhancements or improvements to internal processes to help ensure quality, efficiency and regulatory compliance with local, state, and federal regulations. Researches, manages, coordinates, and implements Charge Description Master (CDM) and charge capture initiatives and processes to ensure revenue management and revenue protection, and ensures the overall integrity of the CDM. (Charge Master). Monitors and reports to the management on progress and processes. Is able to work independently with the latitude to make changes or suggestions. Conducts special projects to facilitate revenue management. Works collaboratively with the organizations directors, managers, and supervisors on all charge master related processes.

  • Education/Training & Experience: High school diploma or equivalent required; college degree preferred. 5-plus years of healthcare experience; prior CDM or charge capture experience; advanced knowledge of CPT4/HCPCS codes, revenue codes; advanced knowledge of policies, standards and methodologies pertaining to charge capture and reconciliation, reporting, documentation and general compliance; advanced knowledge of the accepted principles, practices and tools relating to general healthcare billing, cost accounting and reimbursement; advanced knowledge of the content and application of published health information management coding conventions, e.g., as referenced under “Coding Clinics” and/or other nationally recognized coding guidelines
  • Special Skills, Licenses or Certifications: Applicable clinical or professional certifications required: CPC, CCS, AHIMA•    Compensation Range: $24.75 - $36.35 hourly
  • Starting Work Bonus: Applicants are eligible for a starting work bonus of 5%! Must be hired into a full time position. Part-time or PRN positions are not eligible.
  • Benefits: Benefits include generous PTO, paid sick leave, health insurance, dental, vision, life insurance, long term disability and retirement plan with employer contribution.
  • Job Type: Full Time