Senior Auditor – Project Lead

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

📋 Description

• Supervise the management of various projects.

• Address client needs and expectations to ensure that projects adhere to scope, requirements, and deliverables are timely and of superior quality.

• Execute production tasks in addition to project management, meeting the department’s quality and production standards.

• Accountable for upholding departmental audit standards, clinical documentation standards, protocols, and guidelines.

• Evaluate auditor work for precision and provide written and verbal feedback to auditors.

• Conduct audits of medical records to confirm clinical documentation supporting evaluation and management services, ancillary services, procedures, and diagnoses while meeting departmental quality and production benchmarks.

• Investigate regulatory guidelines for supporting documentation.

• Compile audit summary findings, offering detailed comments related to the audit results and making recommendations.

• Assist the team in achieving departmental key performance indicators and goals (SLAs).

• Embrace workforce transformation by engaging in ongoing knowledge enhancement across additional functional areas and/or upskilling (learning new skills) to meet the changing needs of the organization and clients.

• Contribute to organizational improvement by collaborating to identify opportunities for process enhancement and supporting ongoing improvements to workflows and operations that foster quality and efficiency.

• Prepare oral and/or written reports on client and audit activities for the Manager, regularly meeting with them to discuss individual performance, mentoring, and succession planning.

⛳️ Requirements

• Extensive knowledge and experience in the healthcare industry, particularly in coding, billing, auditing, compliance, and reimbursement for physician practices, including CPT, HCPCS, & ICD-10.

• Significant coding experience across multiple specialties.

• In-depth understanding of AMA, OIG, CMS, and other national coding and compliance guidelines.

• Act as a point of contact for clients, offering expert advice and recommendations based on audit outcomes.

• Communicate effectively to ensure clients grasp the complexities of their projects.

• Experience in developing and delivering training materials, PowerPoint presentations, webinars, and reports for physicians, management, and coders.

• Proven ability to manage multiple projects concurrently with success.

• Excellent written and verbal communication skills.

• Detail-oriented and deadline-driven approach.

• Ability to think critically and identify the best methods for task completion.

• Capacity to multitask while maintaining a sense of urgency.

• Strong organizational skills and a solid work ethic.

• Proficient in Windows, Excel, Word, and PowerPoint.

• Requires prolonged periods of sitting and using a keyboard and mouse.

• Must meet and maintain departmental 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.