Senior Auditor-Project Lead

Summary

Join our team as a Senior Auditor Project Lead and manage various clients' audit projects. This remote position requires at least 5 years of auditing experience in physician practices, with expertise in behavioral health and/or physical/occupational therapy. You will need extensive knowledge of medical auditing, coding, billing, compliance, and reimbursement. The ideal candidate is detail-oriented, resourceful, organized, and driven, with excellent communication skills. Responsibilities include managing client expectations, performing audits, preparing reports, and delivering training materials. A CPC®, CPMA TM or RHIT certification is required.

Requirements

• Extensive healthcare industry knowledge and experience in and around coding, billing, auditing, compliance and reimbursement for physician practices including CPT, HCPCS, & ICD-10
• Extensive coding experience in multiple specialties
• Extensive knowledge of AMA, OIG, CMS and other national coding and compliance guidelines
• Serve as a point of contact for clients, providing expert advice and recommendations on audit results. Communicate effectively to ensure clients understand the complexities of their projects
• Experience developing and delivering training material, PowerPoint presentations, webinars and reports for physicians, management and coders
• Demonstrated ability to successfully manage multiple projects simultaneously
• Excellent written and verbal communication skills
• Detail oriented and deadline driven attitude
• Ability to think critically and determine the best method for completing tasks
• Ability to multi-task and keep a sense of urgency
• Strong organizational skills and work ethic
• Proficient in Windows, Excel, Word, and PowerPoint
• Requires long periods of time sitting and using keyboard and mouse
• Meet and maintain department production and quality standards
• CPC®
• CPMA TM or RHIT
• At least 5 years of auditing experience in physician practices, with extensive experience across multiple specialties, particularly in behavioral health and/or physical/occupational therapy specialties

Responsibilities

• Manage client needs and expectations to ensure project scope, requirements and deliverables are developed appropriately with clients
• Perform production work in addition to project management
• Responsible for maintaining department audit standards, protocols and guidelines
• Provide feedback written and verbally to coders, auditors, and/or providers
• Audit medical records to validate clinical documentation to support evaluation and management services, ancillary services, procedures, and diagnoses
• Research regulatory guidelines for supporting documentation
• Prepare audit summary findings, providing detailed comments related to the audit findings and make recommendations
• Prepares oral and/or written reports of audit activity for Supervisor

Benefits

• Medical, dental and vision insurance
• 401(k) retirement plan
• Health Savings Account (HSA)
• Generous PTO and holiday pay