• Durchführung von Evaluationen und Audits bei Bildungsträgern • Bewertung von Maßnahmenzulassungen • Prüfung von Maßnahmen- und Trägerunterlagen im Rahmen von Zulassungsverfahren • Dokumentation von Audit- und Evaluationsberichten • Erstellung fundierter Prüfbewertungen zur Vorlage in unserem internen Entscheidungsprozess. • Kommunikation mit Trägern zur Klärung von Rückfragen oder zur Nachforderung fehlender Inhalte. • Zusammenarbeit mit der Zertifizierungsstelle im Rahmen der Zertifizierungsentscheidungen • Fachlicher Input zur Weiterentwicklung unserer Prüfsystematik. • Optionale Beteiligung an Sonderfällen, Stellungnahmen oder Widerspruchsverfahren.

• Apply in‑depth knowledge of CPT/HCPCS coding, APC payment methodologies, and outpatient regulatory guidelines to audit UB‑04 facility claims only, ensuring accurate APC assignment, proper packaging, and compliant facility billing. • Perform detailed hospital outpatient facility audits with a strong focus on APC assignment, payment status indicators, revenue code alignment, and OPPS reimbursement logic. • Review outpatient claims to validate correct CPT/HCPCS-to-APC mapping, including appropriate assignment of: – Significant procedure APCs vs. packaged services – Comprehensive APCs (C-APCs) – Composite APCs where applicable • Audit UB‑04 facility claims to ensure accurate reporting of CPT/HCPCS codes, modifiers, revenue codes, and charge structures that directly impact APC payment. • Conduct audits across infusion therapy, outpatient surgeries, imaging, and interventional radiology, such as: – Verifying correct APC assignment for chemotherapy and non-chemotherapy infusions, hydration services, and observation-related services – Reviewing outpatient surgical encounters to ensure correct APC selection based on procedure complexity and status indicators – Auditing interventional radiology encounters to confirm appropriate APC grouping and compliance with bundling rules.

• The auditor will receive additional training and is then expected to support the American Petroleum Institute (API). • Perform Quality Management Systems (QMS) audits of manufacturing, oil & natural gas service organizations. • Perform technical audits against product specifications, performance criteria, management systems, and contract requirements. • This position will be based at locations within the operational areas when on assignment. Responsibilities will be performed at assigned client locations.

• The auditor will receive additional training and is then expected to support the American Petroleum Institute (API). • Performing Quality Management Systems (QMS) audits of manufacturing, oil & natural gas service organizations. • Performing technical audits against product specifications, performance criteria, management systems, and contract requirements. • This position will be based at locations within the operational areas when on assignment. • Travel to and from audit locations using common transportation. • Some work may be performed in environments subject to hot and cold temperatures. • Climbing vertical ladders of various heights and construction staging of various heights may be necessary.