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Community Health Systems

Revenue Integrity Auditor - Full-Time - Hybrid

las cruces, NM

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Job description

Seeking a full-time Revenue Integrity Auditor to support our Business Office department at Mountain View Regional Medical Center, located at 4311 E Lohman Ave, Las Cruces, NM.

nDay Shift: Schedule to be determined.

nWe know it's not just about finding a job. It's about finding a place where you are respected, valued, and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible.

nWhat we Offer:

nCompetitive Pay

nMedical, Dental, Vision, and Life Insurance

nGenerous Paid Time Off (PTO)

nExtended Illness Bank (EIB)

nMatching 401(k)

nOpportunities for Career Advancement

nRewards & Recognition Programs

nExclusive Discounts and Perks

nJob Summary

nThe Revenue Integrity Auditor supports the organization's revenue cycle by investigating and resolving issues that delay billing and impact reimbursement. This role works closely with Coding, Health Information Management (HIM), Ancillary departments, and the Shared Services Center to ensure timely and accurate processing of accounts. The Auditor also helps identify trends, minimize denials, and reduce days in DNFB (Discharged Not Final Billed) by proactively resolving coding, documentation, and charge-related issues.

nEssential Functions

nnnMonitors and works the DNFB and Coding Holds reports daily, prioritizing high-dollar and aging accounts.

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nnCoordinates with ancillary departments and HIM to resolve outstanding issues preventing claims from billing.

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nnCommunicates with clinical departments to obtain missing documentation, clarify charges, or address process delays.

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nnCollaborates with Coding Managers to return accounts to the appropriate queues for processing.

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nnDevelops and distributes patient-type reports to responsible department leaders to track and resolve unbilled account holds.

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nnPrepares weekly corporate reporting detailing coding holds, unresolved documentation issues, and top physicians with outstanding documentation.

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nnParticipates in weekly unbilled calls, providing status updates and identifying process barriers.

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nnAssists in the creation and execution of action plans when unbilled metrics fall below corporate benchmarks.

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nnManages HIM support staff responsible for unbilled accounts assigned to the HIM department.

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nnResolves issues related to Shared Services Center (SSI) holds, including documentation or charge discrepancies.

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nnTracks unbilled alert days and submits daily trending reports to leadership.

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nnServes as a resource for hospital departments to ensure documentation meets billing requirements and reduces delays.

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nnActs as a backup for HIM leadership when necessary.

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nnPerforms other duties as assigned.

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nnMaintains regular and reliable attendance.

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nnComplies with all policies and standards.

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n nQualifications

nnnBachelor's Degree in Accounting, Finance, Health Information Management, Business Administration, or related field required or

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nnFour (4) plus years of direct experience in lieu of a Bachelor's degree required

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nn2-4 years of recent experience in Health Information Management, coding, or revenue cycle operations required

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n nKnowledge, Skills and Abilities

nnnStrong understanding of billing workflows, HIM operations, and revenue cycle processes.

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nnProficiency in using DNFB, coding, and billing systems, as well as Microsoft Office (Excel, Word).

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nnExcellent organizational and time-management skills with attention to detail.

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nnAbility to work independently with minimal supervision.

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nnStrong written and verbal communication skills for working with clinical, coding, and operational teams.

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nnAbility to analyze account data and trends to proactively identify delays and resolution pathways.

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n nLicenses and Certifications

nnnCertified Professional Coder (CPC) required or

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nnCCS-Certified Coding Specialist required

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n nEqual Employment Opportunity

nThis organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to to obtain the main telephone number of the facility and ask for Human Resources.

Worksite address

las cruces, NM, 88005, US

Who can apply

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