Revenue Cycle Auditor

Job Description

Job Description

Description :

The Revenue Cycle Quality Auditor is responsible for evaluating the accuracy, compliance, and effectiveness of revenue cycle processes across multiple departments. This role ensures staff performance aligns with established workflows and standard operating procedures (SOPs) by conducting account-level audits, documenting findings, and providing constructive feedback. As risk and inefficiencies are identified, the auditor will participate in the design and implementation of solutions to drive improvement. Auditors serve as a key quality checkpoint in the revenue cycle, helping identify and address training needs, workflow gaps, and process improvement opportunities to support operational excellence.

Duties and Responsibilities

Audit and Quality Review

• Conduct monthly audits of employee work across assigned revenue cycle departments, reviewing a defined number of accounts per individual.
• Evaluate accounts against established workflows and SOPs, ensuring compliance with policies, payer requirements, and regulatory standards.
• Accurately document audit findings in Qodex tracking tool, Atlas.
• Provide timely, detailed, and constructive comments to staff regarding audit results, highlighting strengths and opportunities for improvement.
• Design and implement solutions that resolve quality issues and drive adherence to standard operating procedures.

Rebuttal & Resolution Process

Process Improvement & SOP Alignment

Collaboration & Communication

Professional Development

Requirements :

Physical Demands and Work Environment