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based on 27 Reviews

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25 Ventra Health Jobs

Revenue Cycle Process Audit Specialist

1-4 years

Kolkata, Mumbai, New Delhi + 4 more

1 vacancy

Revenue Cycle Process Audit Specialist

Ventra Health

posted 16d ago

Job Role Insights

Fixed timing

Job Description

  • Conduct audits and reviews of revenue cycle processes, including but not limited to billing, collections, and reimbursement, to identify errors, discrepancies, and opportunities for improvement.
  • Evaluate the accuracy and completeness of documentation, charge capture, and billing practices to ensure compliance with coding guidelines and regulatory requirements.
  • Analyze billing and payment data to identify trends, patterns, and opportunities for process optimization and revenue enhancement.
  • Collaborate with revenue cycle staff, coding specialists, billing specialists, and other stakeholders to address audit findings, implement process improvements, and ensure adherence to regulatory standards and best practices.
  • Provide education and training to revenue cycle staff on documentation requirements, billing regulations, and revenue cycle best practices.
  • Document audit findings, observations, and recommendations in clear and concise audit reports for presentation to management and stakeholders.
  • Stay abreast of changes in healthcare regulations, payer policies, reimbursement methodologies, and industry trends affecting the revenue cycle, and ensure compliance with regulatory standards.
  • Participate in revenue cycle improvement initiatives, process optimization projects, and system upgrades as needed.
  • Assist with internal and external audits, compliance reviews, and regulatory inquiries related to revenue cycle processes.
Education and Experience Requirements
  • Bachelors degree in any related field.
  • Minimum of 3 years of experience in healthcare revenue cycle management, with a focus on revenue cycle auditing, compliance, or quality assurance.
  • Strong understanding of medical coding, billing, reimbursement, and revenue cycle processes.
Knowledge, Skills, and Abilities
  • Knowledge of healthcare regulations, payer guidelines, and compliance requirements related to revenue cycle operations.
  • Excellent analytical skills and attention to detail.
  • Strong communication and interpersonal skills, with the ability to effectively collaborate with cross-functional teams.
  • Ability to work independently and manage multiple priorities in a fast-paced environment.
  • Proficiency in using revenue cycle management software, electronic health records (EHR) systems, and audit tools.

Employment Type: Full Time, Permanent

Read full job description

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What people at Ventra Health are saying

What Ventra Health employees are saying about work life

based on 27 employees
83%
43%
62%
62%
Strict timing
Monday to Friday
Within city
Day Shift
View more insights

Ventra Health Benefits

Free Transport
Child care
Gymnasium
Cafeteria
Work From Home
Free Food +6 more
View more benefits

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