Associate, Healthcare Compliance Auditor – Healthcare Transaction Strategy
Berkeley Research Group (BRG)
full-time
Posted on:
Location Type: Remote
Location: Remote • District of Columbia, Washington • 🇺🇸 United States
Visit company websiteSalary
💰 $70,000 - $100,000 per year
Job Level
JuniorMid-Level
About the role
- Support client engagements and discrete segments of larger projects;
- Research healthcare program requirements and payer guidelines;
- Develop coding and documentation audit methodology using knowledge of key risk areas in coding and documentation compliance;
- Perform coding and documentation audits, reviewing medical records and charges to ensure compliance with CPT-4/HCPCS and ICD-10-CM coding guidelines and standards, as well as the Centers for Medicare & Medicaid Services (CMS) coverage guidelines;
- Conduct analysis of audit findings to identify trends/problems in coding and documentation and effectively communicate the audit findings and recommended areas for improvement to senior members of the team;
- Monitor relevant resources, publications, and current government compliance and enforcement activity related to high-risk compliance areas;
- Stay current on coding guidelines. Develop analyses using transactional data and/or financial data;
- Make valuable contributions to client deliverables;
- Demonstrate creativity and efficient use of relevant software tools and analytical methods to develop solutions;
- Participate in group practice meetings;
- Prioritize assignments and responsibilities to meet goals and deadlines.
Requirements
- An undergraduate degree in a major relevant to healthcare (Public Health, Healthcare Administration, etc.)
- An active coding certification (may be in apprentice status) or willingness to obtain a coding certification from either AAPC or AHIMA within 6 months of hire
- An interest in medical auditing
- 0-2 years of work experience that demonstrates a strong interest in the healthcare industry
- Internships, fellowships, or work experience in a hospital or healthcare system preferred
- Preference will be given to candidates who possess some knowledge of Medicare rules, regulations, and guidelines as they apply to coverage, coding, and provider documentation
- Some knowledge of CPT-4, HCPCS, and ICD-10-CM coding systems, guidelines, and regulatory requirements is preferred
- Proficient user in Microsoft Office Suite, specifically Excel, PowerPoint, Access, and Word
Benefits
- Health insurance
- Paid time off
- Professional development
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
coding audit methodologycoding complianceCPT-4HCPCSICD-10-CMdata analysismedical auditingdocumentation compliancerisk assessment
Soft skills
communicationcreativityanalytical thinkingprioritizationteam collaboration
Certifications
coding certificationAAPC certificationAHIMA certification