Medix™
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.
Location: New York, NY
What You’ll Do
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
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
Seniority level
Mid‑Senior level
Employment type
Full‑time
Job function
Accounting/Auditing
Industries
Hospitals and Health Care
#J-18808-Ljbffr
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.
Location: New York, NY
What You’ll Do
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
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
Seniority level
Mid‑Senior level
Employment type
Full‑time
Job function
Accounting/Auditing
Industries
Hospitals and Health Care
#J-18808-Ljbffr