Revenue Integrity Auditor
Full Time, 80 Hours Per Pay Period, Day Shift
In person training with work from home option, at Manager’s discretion, after successful completion of training. In person meetings required, as needed
Covenant Health Overview:
Covenant Health is East Tennessee’s top-performing healthcare network with 10 hospitals and over 85 outpatient and specialty services, and Covenant Medical Group, our area’s fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned, not-for-profit healthcare system and the area’s largest employer with over 11,000 employees.
Covenant Health is the only healthcare system in East Tennessee to be named six times by Forbes as a Best Employer.
Performs complex level professional internal auditing work. Work involves compliance audit projects for Covenant Health entities as they relate to charging, coding, documentation and billing compliance. This would include E/M, procedure, and ICD-10 reviews, as well as any needed provider or staff education. Also provides consulting services to the organization’s management and staff and may participate in requested investigations. Maintains all organizational and professional ethical standards. Works independently under limited supervision with significant latitude for initiative and independent judgment. Performs other duties as needed. Reports to the Revenue Integrity Manager.
Serving the Customer
Using the Community's Resources Wisely
Recognizes situations, which necessitate supervision and guidance, seeking and obtaining appropriate resources.
Minimum Education: Must be sufficient to meet the standards for achievement of the below indicated license and/or certification as required by the issuing authority.
Minimum Experience: Three (3) to five (5) years’ experience in health care. Good working knowledge of healthcare billing, Medicare/Medicaid billing guidelines, and other Third Party Payor rules and regulations. Experience in problem solving and analytical reviews. Must be knowledgeable in use of PC's, Windows, Excel and Word Processing. Must have good public relations skills.
Licensure Requirements: Current clinical license/registration in the State of Tennessee or certification in field of healthcare related study. RHIT/RHIA/CPC or clinician with background in provider reimbursement, coding or utilization management preferred.
Software Powered by iCIMS