Position: Medical Billing Audit Specialist Type: Remote- Full time Scope of the Role A high-volume gastroenterology practice is seeking a highly experienced U.S. healthcare billing professional to audit and optimize the performance of its third-party billing company. This is a specialist role, not administrative, requiring deep domain knowledge in medical billing and a proactive, analytical mindset. The practice processes approximately 1,000 claims/month using Athena EMR and Karyo billing software. The ideal candidate will be a billing audit specialist who can assess AR data, identify hidden issues, and recommend revenue-boosting optimizations. You’ll serve as a key liaison between the internal team and the external billing company. Key Responsibilities Audit third-party billing performance by analyzing AR reports and claim data Identify revenue leakage, silent denials, undercoding, or aging trends impacting cash flow Provide clear, actionable insights and monthly audit summaries to leadership and staff Track key billing KPIs and flag inconsistencies or bottlenecks Improve transparency and accountability of third-party billing operations Collaborate with internal staff and billing company representatives Recommend workflow improvements, policy updates, and system enhancements to boost billing performance Leverage Excel to build/interpret reports; spot trends and anomalies with precision Use Karyo billing system effectively to extract, evaluate, and verify billing activity Requirements 3–5+ years of hands-on experience in U.S. healthcare billing and revenue cycle management Proven track record in billing audits, AR review, and revenue optimization Expertise with Karyo billing software and Athena EMR Advanced Excel skills (pivot tables, VLOOKUP, conditional formatting, trend analysis) Exceptional attention to detail with a proactive, problem-solving mindset Strong communication skills; capable of presenting billing issues and insights clearly to both clinical and non-clinical audiences Comfortable interfacing with external billing vendors and internal stakeholders Ability to work independently and efficiently in a remote setting Ideal Candidate Profile Proactive auditor who spots problems before they escalate Deep knowledge of coding, denials management, and payer behavior High integrity and commitment to data transparency and financial accountability Familiarity with specialty billing, particularly in gastroenterology, is a strong plus