Senior Auditor – Project Lead

Role Overview

• 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