Senior Auditor – Project Lead
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Job Description
Senior Auditor Project Lead managing audits and optimizing processes in healthcare compliance. Overseeing auditor performance and supporting team goals from a remote environment.
Responsibilities:
- 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
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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