Revenue Cycle Denials/Clinical/Coding Quality Auditor

Summary:

Revenue Cycle Denials / Clinical Coding Quality Auditor identifies training opportunities, and supports continuous quality improvement across the denials team.

Key Responsibilities:

• Perform routine audits of denial work, including root cause identification, appeal accuracy, and documentation quality
• Validate compliance with payer guidelines and internal workflows
• Provide clear, constructive feedback and assist with training needs
• Track quality trends and support process improvement initiatives
• Review Epic account documentation to ensure correct handling and resolution

Qualifications:

• 2+ years of experience in revenue cycle, denials, coding, billing, or insurance follow-up
• Coding experience (CPC/CCS a plus)
• Clinical nursing experience
• Epic experience preferred
• Strong knowledge of payer rules, deni...