Regulatory Billing Auditor
About the role
The Regulatory Billing Auditor supports compliant charging, billing, and documentation practices across the MaineHealth system by conducting medical audit reviews and analyses of clinical and technical records. Working under the direction of the Regulatory Billing Audit Manager, this role evaluates billing and documentation processes, identifies opportunities for improvement, and helps ensure compliance with healthcare regulations and organizational standards. The position develops expertise in regulatory billing, including outpatient and physician practice billing, while partnering with Regulatory Billing leadership and Senior Billing Auditors to expand knowledge across a broad range of audit activities. The Auditor analyzes findings, prepares reports and executive summaries, and collaborates with leaders and staff to support process improvements, education, and ongoing compliance efforts. This role offers the opportunity to develop expertise in healthcare regulatory billing and auditing within a large integrated health system, partner with experienced auditors and revenue cycle professionals committed to collaboration and continuous learning, contribute to meaningful work that supports compliance, operational excellence, and revenue integrity, gain exposure to a variety of auditing activities including clinical and technical billing reviews, and enjoy the flexibility of a fully remote position while remaining connected to a supportive and engaged team. Join Maine's largest integrated health system and help advance our mission of improving the health of the communities we serve, working in a culture that values teamwork, innovation, and professional development.
Responsibilities
- Conduct medical audit reviews and analyses of clinical and technical records.
- Evaluate billing and documentation processes.
- Identify opportunities for improvement