Revenue Cycle Auditor - Remote

Overview

We are seeking a sharp, proactive, and technically adept Revenue Cycle Auditor to execute audit and process improvement initiatives across all revenue cycle functions. This role is critical in monitoring the production and performance of revenue cycle teams, identifying breakdowns in processes, tracking payer behavior trends, and identifying automation issues that impact performance and revenue. The ideal candidate will bring a blend of deep RCM expertise, strong technical acumen, and a root-cause analysis mindset to proactively identify and solve operational inefficiencies.

In Short

• Conduct in-depth audits of production workflows, claims, Jira tickets, and system configurations to pinpoint gaps, breakdowns, or failures to meet KPIs.
• Follow audit pathways and methodologies across the revenue cycle, particularly around authorizations and claim life cycles.
• Identify root causes of denials or incorrect coding/configuration, and assess SOP/job aid adherence.
• Collaborate cross-functionally with billing strategy, rev cycle leadership, operations, and tech teams to improve approvals and payments.
• Drive improvements in system design and automation effectiveness.
• Perform technical audits of system-generated changes.
• Analyze large datasets to validate coding and automation accuracy.
• Review and refer to dashboards and audit reports using Power BI, SQL, and Snowflake.

Requirements

• Bachelor’s degree in Business, Health Informatics, Data Science, or a related field preferred; equivalent years of relevant professional experience will be considered.
• 5+ years of experience in healthcare revenue cycle.
• Hands-on experience in lab billing strongly preferred.
• Familiarity with systems such as Xifin, Epic, Meditech, Salesforce, LIMs, and Waystar.
• Strong understanding of coding, reimbursement practices, and payer policy interpretation.
• Ability to work independently in a fast-paced, data-heavy environment.
• Excellent communication and documentation skills.

Benefits

• Competitive Benefits including comprehensive medical, dental, vision, life and disability plans.
• Free testing for employees and their immediate families.
• Pregnancy and baby bonding leave.
• 401k benefits and commuter benefits.
• Generous employee referral program.