Medix™

Compensation

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🩺 Clinical Revenue Auditor 📍 New York, NY 10029 🕒 Full-Time | Exempt 🏢 Hybrid / Remote Option Available Are you a clinically minded professional who understands how documentation, coding, and reimbursement come together? This is a unique opportunity to bridge clinical care and revenue integrity in a highly respected academic health system environment. As a Clinical Revenue Auditor, you’ll play a critical role in ensuring services provided to patients are accurately documented, coded, and reimbursed—while partnering closely with clinical, coding, billing, and revenue cycle leaders to drive compliance and financial performance. 🔍 What You’ll Do You’ll serve as a key link in the revenue cycle, helping translate patient care into accurate and timely reimbursement. • Conduct detailed charge capture and clinical audits to validate documentation, coding, and billing accuracy • Identify missing or incorrect charges, coding discrepancies, and documentation gaps • Perform root cause analysis to address revenue leakage and develop corrective action plans • Ensure compliance with CMS regulations and other federal and state billing guidelines • Collaborate with clinical, billing, coding, and IT teams to improve workflows and documentation practices • Leverage charge capture software and analytics tools to identify trends and opportunities for improvement • Coordinate with payers on audit requests, technical denials, and appeal determination and tracking • Educate clinical teams on documentation and charge capture best practices • Build strong, collaborative relationships with revenue cycle and clinical stakeholders • Support continuous process improvement initiatives and compliance standards 🎓 What We’re Looking For • Bachelor’s degree in a healthcare-related field (Master’s preferred) • 3–5 years of clinical experience with strong knowledge of medical terminology and patient care • Demonstrated success in a large academic, not-for-profit, or multi-entity health system environment • Strong understanding of medical coding systems, billing regulations, and reimbursement workflows • Hands-on experience with Epic and other medical billing or audit software • Knowledge of Medicare, Medicaid, managed care, and coordination of benefits • Excellent communication skills with the ability to work effectively with physicians and senior leaders • Strong analytical, organizational, and problem-solving skills • Ability to manage multiple priorities in a fast-paced environment 🏅 Licensure & Certifications (Preferred) • Active NYS clinical licensure (RN, OT, PT, SLP, PA, Social Worker, Lab or Radiology Technologist, or related) • Certifications such as CPMA, CIC, CCS, or CHA are a plus 💼 Work Environment • Corporate office setting within an academic health system • Hybrid or remote work options available • Collaborative, mission-driven culture focused on quality and compliance ✨ Why This Role Stands Out • Make a direct impact on revenue integrity and patient care quality • Work cross-functionally with clinical and executive leadership • Opportunity to influence education, compliance, and process improvement • Stability and growth within a large, complex healthcare system