Senior Associate

This is a fully remote position, open to applicants in United States.

📋 Description

• Become a member of the Healthcare Transactions and Strategy (HTS) team.

• Conduct regulatory, reimbursement, data analytics, and compliance audits for healthcare providers, payers, and investors.

• Organize and execute medical record audits to assess coding accuracy and ensure compliant claims submission.

• Create methodologies for coding and documentation audits.

• Evaluate medical records and charges to ensure coding and documentation adherence.

• Examine audit results to pinpoint trends and issues.

• Present audit findings and suggest areas for enhancement.

• Keep track of compliance resources, publications, and governmental compliance and enforcement activities.

• Stay updated on coding standards.

• Conduct analyses utilizing transactional and/or financial data.

• Produce client deliverables and assist in expert report development.

• Implement qualitative or quantitative engagement work streams.

• Carry out billing and coding audits, compliance program assessments, quality control, industry research, and client deliverable creation.

• Leverage relevant software tools and analytical techniques to devise solutions.

• Manage assignments and responsibilities effectively to achieve objectives and deadlines.

⛳️ Requirements

• Bachelor's degree (BS or BA).

• Strong interest in healthcare and a desire to obtain a medical coding certification.

• 1–2 years of professional experience, preferably in healthcare consulting.

• Capability to interpret national coding and documentation guidelines and apply them in auditing practices and tools.

• Skill in identifying coding and documentation discrepancies and recommending corrective measures.

• Ability to develop reports and monitor audit findings and outcomes.

• Proficiency in Microsoft Office Suite, particularly Excel, PowerPoint, Access, and Word.

• Eagerness to enhance Microsoft Office skills and the capability to train others in using these tools.

• High-quality analytical skills and attention to detail.

• Excellent time management and organizational abilities.

• Capacity to prioritize tasks and meet deadlines.

• Strong interest in healthcare compliance and healthcare policy.

• Outstanding verbal and written communication skills.

• Willingness to collaborate within a team environment.

• Candidate must provide verification of the legal right to work in the U.S. without company sponsorship now or in the future.

• Medical auditing certification is preferred.

• Experience in physician practice coding, ASC coding, and/or post-acute coding is preferred.

• Prior experience in consulting-firm auditing or transactional diligence audits is preferred.

• Experience in health-plan provider auditing and review is preferred.

🏝️ Benefits

• Comprehensive training for AAPC (CPC, CPMA) or AHIMA (CCC-P, AOC) certification funded by the employer.

• Full coverage for certification costs.

• Commitment to equal opportunity employment.

• Reasonable accommodations for essential job functions.