Senior Auditor

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

📋 Description

• Conduct audits of medical records to verify clinical documentation that supports evaluation and management services, ancillary services, procedures, diagnoses, as well as identifying documentation requirements and gaps.

• Evaluate project guidelines to ensure that deliverables are completed on schedule and satisfy client-specific needs.

• Investigate regulatory guidelines pertaining to supporting documentation.

• Compile audit summary findings, provide detailed comments, and offer recommendations.

• Uphold production standards and quality metrics of 95% or higher.

• Adhere to departmental audit standards, clinical documentation standards, protocols, and guidelines.

• Contribute to departmental KPIs and SLAs.

• Broaden understanding across additional functional areas and enhance skills to support the evolving needs of the organization and clients.

• Recognize opportunities for process improvement and assist in workflow and operational enhancements.

• Create oral and/or written reports on audit activities for the Manager.

• Meet regularly with the Manager to assess individual performance, mentoring, and succession planning.

⛳️ Requirements

• A minimum of 5 years of auditing experience is required.

• Significant auditing experience across various specialties is necessary.

• In-depth knowledge of AMA, OIG, CMS, and other national coding and compliance regulations is essential.

• Exceptional written and verbal communication skills are required.

• Capability to manage an entire project independently.

• Detail-oriented with a strong focus on meeting deadlines.

• Ability to think critically and determine the most effective approach for task completion.

• Proficient computer skills, including Excel, Word, and internet usage.

• Capacity to handle multiple tasks while maintaining a sense of urgency.

• Outstanding customer service skills.

• Strong organizational skills, time management abilities, and a solid work ethic.

• Must be able to sit for extended periods and use a keyboard and mouse.

• CPC® and CPMA certification is mandatory.

• RHIT or CPMA™ certification is required.

• Legal authorization to work in the United States is necessary.

🏝️ Benefits

• Competitive salary and performance-based bonuses.

• Comprehensive health, dental, and vision insurance.

• Opportunities for professional development and continuing education.

• Flexible work schedule and remote work options.

• Retirement savings plan with employer matching.

• Generous paid time off and holiday policies.