GENERAL SUMMARY: Reporting to the Manager, Revenue Integrity, the Revenue Integrity Auditor must have a comprehensive understanding of medical terminology, coding, charge entry, and healthcare revenue cycle processes. The Revenue Integrity (RI) Auditor provides support for timely, accurate and inclusive charge capture, coding, billing functions and revenue routing, through evaluation and interpretation of payer updates, performance of record audits, work queue review, presentation of staff education and other related activities. The RI Auditor coordinates processes between clinical operations and revenue cycle departments ensuring that the accounts audited reflect proper documentation, charge capture, coding, and billing to support proper payment. The RI Auditor understands HFH payor contracts and reimbursement methodologies. Works collaboratively with Revenue Integrity staff to identify charge system weakness, recommends process improvement and other changes provides education, and tracks utilization. This position is integral to the Revenue Integrity Team to assist in ensuring patient services are supported by clinical documentation, appropriately coded, accurately charged, and the related revenue is recorded in the proper department. EDUCATION/EXPERIENCE REQUIRED: + Associate degree in Business Administration, Healthcare Administration, Nursing or related field, or two (2) years of related experience in lieu of Associate degree. + Two (2) years of experience in healthcare revenue cycle/audit processes. + EPIC experience, preferred. Hospital billing and healthcare finance background preferred. + Knowledge of medical coding (facility and professional), related medical terminology, use of medical records, billing claim forms, and federal and state regulations related to rules/coverage. + Ability to investigate, analyze and resolve issues at a high level. + Excellent communication, organizational and problem-solving skills. CERTIFICATIONS/LICENSURES REQUIRED: + RHIA, RHIT, CCS, COC, or CPC, or other coding certification required or must be obtained within 12 months of hire date. Additional Information + Organization: Corporate Services + Department: Revenue Integrity + Shift: Day Job + Union Code: Not Applicable Additional Details This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above. Overview Henry Ford Health partners with millions of people on their health journey, across Michigan and around the world. We offer a full continuum of services – from primary and preventative care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health care retail. With former Ascension southeast Michigan and Flint region locations now part of our team, Henry Ford’s care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation’s most respected academic medical centers and is leading the Future of Health: Detroit, a $3 billion investment anchored by a reimagined Henry Ford academic healthcare campus. Learn more at henryford.com/careers . Benefits The health and overall well-being of our team members is our priority. That’s why we offer support in the various components of our team’s well-being: physical, emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans (CDHPs), a PPO plan and an HMO plan. Our team members enjoy a number of additional benefits, ranging from dental and eye care coverage to tuition assistance, family forming benefits, discounts to dozens of businesses and more. Employees classified as contingent status are not eligible for benefits. Equal Employment Opportunity/Affirmative Action Employer Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health is committed to the hiring, advancement and fair treatment of all individuals without regard to race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height, weight, marital status, family status, gender identity, sexual orientation, and genetic information, or any other protected status in accordance with applicable federal and state laws.