Claims Audit Supervisor, Revenue Cycle Managment
Core
Oversee audit teams and manage compliance processes for patient revenue cycles, ensuring accurate billing and collection in healthcare.
Role type
Senior IC claims audit supervisor (revenue cycle management)
Builds
Audit response packets, compliance reports, and corrective action plans for healthcare providers
Domain
Healthcare / Revenue Cycle Management / Regulatory Compliance
Deliverable
dashboards & analysis
Required skills
Audit process development, quality assurance, regulatory compliance (Federal/State), team supervision, claims review, contract analysis, report preparation, CMS communication
Preferred skills
Urology or wound care product knowledge, leadership experience, project management
Responsibilities
Oversee audit team and respond to audit requests, lead team in reviewing clinical documentation for accuracy, monitor and trend audit progress, gather and review documentation for insurance companies, ensure audits meet legal requirements, review provider contracts for payment methodology, prepare reports on findings, stay updated on Medicare updates and regulations
Seniority
Senior, hands-on IC with supervisory duties