• Directs, provides guidance and advice, and reviews the work product of more junior Auditors and Financial Analysts to ensure that it meets the stated objectives of audit investigations. • Reports to the Trial Staff and COR as required on the status of audit investigations; prepares interim and final written reports and recommendations based on the results of audit investigations. • Reviews and analyzes financial and operating statements, records and other information in order to arrive at results and conclusions in accordance with the stated objectives of audit investigations.

• Performing physical and remote audits of insured’s business • Interviews, investigates, collects, and records information to be used in a written report that is provided to the insurance carrier.

• Conduct insurance policy audits for Worker’s Compensation, Auto and General Liability policies. • Audit the policyholder’s records according to client company standards. • Schedule appointments with the insured to be audited and obtain necessary documentation for insurance company client audits.

• Conduct routine and focused coding audits across multiple medical specialties (e.g., cardiology, orthopedics, general surgery, gastroenterology, radiology, internal medicine, etc.). • Review CPT®, ICD-10-CM, and HCPCS Level II coding for accuracy, completeness, and compliance with CMS, OIG, and payer-specific rules. • Evaluate medical record documentation to ensure accurate code assignment and adherence to medical necessity and coding guidelines. • Identify trends, patterns, and recurring coding errors; collaborate with coders and leadership to implement corrective actions. • Prepare detailed audit reports summarizing findings, accuracy rates, and recommendations for improvement. • Provide one-on-one or group coder education and feedback based on audit outcomes. • Assist in the development and maintenance of internal audit tools, policies, and training materials. • Stay current on coding updates, compliance regulations, and industry best practices. • Participate in internal compliance reviews and support external audits as needed. • Contribute to process improvement initiatives that enhance coding quality and operational efficiency.