Melville,NY - USA

Position Requirements

RESPONSIBILITIES

• Conduct comprehensive revenue cycle audits covering registration, coding, billing, and collections.
• Evaluate system performance including billing system integrity, implementation outcomes, and maintenance of dictionaries and configurations.
• Support billing and charge correction reviews based on audit findings and track resolutions.
• Analyze claim workflows to identify root causes for delayed or inaccurate reimbursements.
• Works closely with cross functional teams to troubleshoot and resolve system or interface-related errors.
• Analyzing payer claim acknowledgment rejections collaboratively with the Accounts Receivable (A/R) department to identify root causes, recommend corrective actions, and ensure timely and accurate claims processing and payment.
• Audit coding accuracy and completeness; collaborate with Revenue Optimization Audit team and validate compliance with ICD-10, CPT, and HCPCS standards.
• Prepare technical audit reports, dashboards, and corrective action plans.
• Perform pre-correction reviews to hand off to charge correction team to ensure the accuracy and adherence to payer guidelines and NAPA policies, avoiding any risk to revenue collected.

REQUIRED QUALIFICATIONS

• Current Certified Professional Coder (CPC) from AAPC or AHIMA required or must be obtained within 1 year.
• 4–6 years of auditing or revenue cycle experience. Anesthesia specialization is highly preferred.  
• Proficiency in claims, denial trends, payer contract interpretation.
• Advanced understanding of revenue cycle processes, medical billing systems, and healthcare compliance standards.
• In-depth knowledge of healthcare billing systems (Athena, Epic, Cerner, or similar).
• Advanced Excel skills and familiarity with audit tools and data analytics platforms.
• Strong analytical thinking, attention to detail, and cross-functional collaboration skills.

TOTAL REWARDS:

• Salary: hourly $24.01- $33.01/hour
• Generous benefits package, including:
• Paid Time Off
• Health, life, vision, dental, disability, and AD&D insurance
• Flexible Spending Accounts/Health Savings Accounts
• 401(k)
• Leadership and professional development opportunities

The Revenue Cycle Auditor II provides advanced auditing of revenue cycle functions with a specialized focus on coding denials accuracy, system performance, and billing compliance. This position plays a critical role in identifying billing errors, system inefficiencies, and compliance risks across the revenue cycle.

EEO Statement

North American Partners in Anesthesia is an equal opportunity employer.