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AAPC

Advancing the Business of Healthcare

Senior Auditor – Project Lead

AuditorAuditorFull TimeRemoteSeniorTeam 51-200Since 1988H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

1 day ago

Salary

0

Seniority

Senior

Professional Certificate5 yrs expEnglish

Job Description

Senior Auditor – Project Lead

AAPC

• Oversee the management of multiple projects • Manage client needs and expectations to ensure projects meet scope, requirements and deliverables are on-time and of high quality • Perform production work in addition to project management, meeting department’s quality and production standard thresholds • Responsible for maintaining department audit standards, clinical documentation standards, protocols and guidelines • Review auditor work for accuracy and provide feedback written and verbally to auditors • Audit medical records to validate clinical documentation to support evaluation and management services, ancillary services, procedures, and diagnoses and meet department quality and production standards • Research regulatory guidelines for supporting documentation • Prepare audit summary findings, providing detailed comments related to the audit findings and make recommendations • Support team with department key performance indicators and goals (SLAs) • Embrace workforce transformation by engaging in continuous knowledge expansion across additional functional areas and/or upskilling (learning new skills) to support evolving organizational and client needs • Contribute to organizational optimization by collaborating to identify opportunities for process improvement and supporting continuous enhancements to workflows and operations that promote quality and efficiency • Prepares oral and/or written reports of client and audit activity for Manager, meeting with them on a regular basis to review individual performance, mentoring, and succession planning

Job 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
  • Certification Requirements: CPC® CPMA TM or RHIT

Benefits

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

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