Auditor

• Conduct risk-based audits across strategic, operational, financial, and compliance areas
• Execute risk-based business process audits and transactional analysis
• Prepare clear, well-supported, high-quality workpaper deliverables
• Identify control gaps, process deficiencies, and possible policy violations
• Collaborate with process owners to identify root causes and corrective action plans
• Track and monitor process improvement status with a focus on effectiveness

Internal Auditor II

• **Responsibilities and Essential Functions:**
• - Understand the payer process of Surgery, APC, Outpatient.
• - Application of coding and clinical information.
• - Provide inputs and solutions to automatically recognize and extract data from medical documents for proper coding and to facilitate auditing.
• - Prompt response to all the emails and requirements.
• - Reporting to the manager as appropriate.
• - Excellent project management skills, multi-tasking, training skills.
• - Strong PC skills; Excel, Word, PowerPoint and internet-based programs
• - Excellent verbal and written communication
• - Experience in Strategic management
• - Perform analysis of benchmarking.
• - Research updated coding information
• - Research coding issues that arise
• - Maintain knowledge of Surgery coding and clinical concepts.
• - Flexibility

Assistant Manager – Coding Auditor

• Follow every aspect of SOP without fail
• Complete received Audits with Quality
• To achieve Quality and production target
• Follow project related protocols and instructions
• Escalate issues, identify trends...
• Update all the logs like productivity, Clarification log, and any other logs applicable, daily
• Check with Manager /TL in case of clarifications
• All emails from Manager should be answered promptly without fail
• Ensure compliance of entire team for HIPAA, OIG
• Flexibility

Senior Coding Auditor

• Reviewing, validating, and auditing complex financial models across various sectors to ensure their accuracy and reliability.

Financial Model Auditor

• Follow every aspect of SOP without fail
• Complete received Audits with Quality
• To achieve Quality and production target
• Follow project related protocols and instructions
• Escalate issues, identify trends
• Update all the logs like productivity, Clarification log, and any other logs applicable on a daily basis.
• Check with Manager /TL in case of clarifications
• All emails from Manager should be answered promptly without fail
• Problem solving skill sets
• Ensure compliance of entire team for HIPAA,OIG

Executive – Coding Auditor

• Follow every aspect of SOP without fail
• Complete received Audits with Quality
• To achieve Quality and production target
• Follow project related protocols and instructions
• Escalate issues, identify trends...
• Update all the logs like productivity, Clarification log, and any other logs applicable on a daily basis.
• Check with Manager /TL in case of clarifications
• All emails from Manager should be answered promptly without fail
• Problem solving skill sets
• Ensure compliance of entire team for HIPAA,OIG

Coding Auditor

• Responsible for carrying out various Premium auditor’s tasks involving email communication
• Audit write-ups
• Connecting with insured / agent / carrier to obtain details to complete an audit (verbal communication)
• Data entry into systems
• Work allocation
• Documents uploading
• Various other admin tasks in a manner that is consistent with company policies, procedures and standards

Auditor II – Phone, Auditstream

• Responsible for reviewing, validating, and auditing complex financial models across various sectors to ensure their accuracy and reliability.

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Internal Auditor II

Assistant Manager – Coding Auditor

Senior Coding Auditor

Financial Model Auditor

Executive – Coding Auditor

Coding Auditor

Auditor II – Phone, Auditstream

Financial Model Auditor