Revenue Cycle Auditor

Job Description:

Revenue Cycle Auditor

We are seeking a sharp, proactive, and technically adept Revenue Cycle Auditor to execute audit and process improvement initiatives across all revenue cycle functions. This role is critical in monitoring the production and performance of revenue cycle teams, identifying breakdowns in processes, tracking payer behavior trends, and identifying automation issues that impact performance and revenue. The ideal candidate will bring a blend of deep RCM expertise, strong technical acumen, and a root-cause analysis mindset to proactively identify and solve operational inefficiencies.

Key Responsibilities:

• Conduct in-depth audits of production workflows, claims, Jira tickets, and system configurations to pinpoint gaps, breakdowns, or failures to meet KPIs.
• Follow audit pathways and methodologies across the revenue cycle, particularly around authorizations and claim life cycles.
• Identify root causes of denials or incorrect coding/configuration, and assess SOP/job aid adherence (“Was this workflow followed correctly?”).
• Collaborate cross-functionally with billing strategy, rev cycle leadership, operations, and tech teams to improve approvals and payments.
• Drive improvements in system design and automation effectiveness by testing changes before and after implementation to confirm the people, process, and system is doing what it’s supposed to
• Perform technical audits of system-generated changes, such as coding automation or Jira ticket outcomes, ensuring configurations align with intent.
• Analyze large datasets to validate coding and automation accuracy, with focus on “Verification of Benefits” and payer requirement compliance.
• Review and refer to dashboards and audit reports using Power BI, SQL, and Snowflake to deliver data-driven insights to stakeholders.

Required Qualifications:

• Bachelor’s degree in Business, Health Informatics, Data Science, or a related field preferred; equivalent years of relevant professional experience will be considered.
• 5+ years of experience in healthcare revenue cycle, with a focus on prior authorizations, claims auditing, and payer behavior analysis.
• Hands-on experience in lab billing strongly preferred
• Familiarity with systems such as Xifin, Epic, Meditech, Salesforce, LIMs, and Waystar.
• Strong understanding of coding, reimbursement practices, and payer policy interpretation.
• Ability to work independently in a fast-paced, data-heavy environment and “deep dive” into issues with minimal oversight.
• Excellent communication and documentation skills, including the ability to present insights to operational and leadership teams.

Preferred Attributes:

• Creative thinker and problem solver with an eye for identifying inefficiencies and optimizing workflows.
• Ability to:
• Write SQL queries

•  Investigate Jira ticket history

• Analyze configuration logs
• Curious and proactive—able to investigate complex systems and uncover latent issues.
• Not afraid to ask tough questions, dig for the ‘why,’ or challenge bad logic.
• Proven ability to build effective working relationships across technical, clinical, and operations teams.
• Experience working with offshore teams is a plus.
• Experience with automation testing and AI/LLM integrations (a bonus, not required).

#LI-AB1

The pay range is listed and actual compensation packages are based on a wide array of factors unique to each candidate, including but not limited to skill set, years & depth of experience, certifications and specific office location. This may differ in other locations due to cost of labor considerations.

San Carlos, CA

$65,000 - $85,000 USD

OUR OPPORTUNITY

Natera™ is a global leader in cell-free DNA (cfDNA) testing, dedicated to oncology, women’s health, and organ health. Our aim is to make personalized genetic testing and diagnostics part of the standard of care to protect health and enable earlier and more targeted interventions that lead to longer, healthier lives.

The Natera team consists of highly dedicated statisticians, geneticists, doctors, laboratory scientists, business professionals, software engineers and many other professionals from world-class institutions, who care deeply for our work and each other. When you join Natera, you’ll work hard and grow quickly. Working alongside the elite of the industry, you’ll be stretched and challenged, and take pride in being part of a company that is changing the landscape of genetic disease management.

WHAT WE OFFER

Competitive Benefits - Employee benefits include comprehensive medical, dental, vision, life and disability plans for eligible employees and their dependents. Additionally, Natera employees and their immediate families receive free testing in addition to fertility care benefits. Other benefits include pregnancy and baby bonding leave, 401k benefits, commuter benefits and much more. We also offer a generous employee referral program!

For more information, visit www.natera.com.

Natera is proud to be an Equal Opportunity Employer. We are committed to ensuring a diverse and inclusive workplace environment, and welcome people of different backgrounds, experiences, abilities and perspectives. Inclusive collaboration benefits our employees, our community and our patients, and is critical to our mission of changing the management of disease worldwide.

All qualified applicants are encouraged to apply, and will be considered without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, age, veteran status, disability or any other legally protected status. We also consider qualified applicants regardless of criminal histories, consistent with applicable laws.

If you are based in California, we encourage you to read this important information for California residents. 

Link: https://www.natera.com/notice-of-data-collection-california-residents/

Please be advised that Natera will reach out to candidates with a @natera.com email domain ONLY. Email communications from all other domain names are not from Natera or its employees and are fraudulent. Natera does not request interviews via text messages and does not ask for personal information until a candidate has engaged with the company and has spoken to a recruiter and the hiring team. Natera takes cyber crimes seriously, and will collaborate with law enforcement authorities to prosecute any related cyber crimes.

For more information:
- BBB announcement on job scams 
- FBI Cyber Crime resource page 

Create a Job Alert

Interested in building your career at Natera? Get future opportunities sent straight to your email.

Create alert