Medical Auditor – Project Lead

🔥 0 minutes ago

🏄 California – Remote

🏄 California – Remote

⏰ Full Time

🟠 Senior

🔎 Auditor

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AAPC

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 1988

💼 Consulting

🛡️ Insurance

📦 Logistics

Consulting • Insurance • Logistics

AAPC is the world's largest training and credentialing organization for the business of healthcare, with members worldwide working in medical coding, billing, auditing, compliance, clinical documentation improvement, revenue cycle management, and practice management. It provides a range of career training, continuing education, and networking opportunities for industry professionals to enhance their skills and advance their careers. AAPC offers courses to prepare for various respected coding certifications, thus supporting individuals in building successful careers in healthcare management and compliance.

📋 Description

• Oversee the management of multiple projects • Manage client needs and expectations to ensure projects meet scope, requirements, and deliverables on time and at high quality • Perform medical audit production work alongside project management • Maintain department audit standards, clinical documentation standards, protocols, and guidelines • Review auditor work for accuracy and provide written and verbal feedback • Audit medical records to validate clinical documentation supporting evaluation and management services, ancillary services, procedures, and diagnoses • Research regulatory guidelines for supporting documentation • Prepare audit summary findings with detailed comments and recommendations • Support department key performance indicators and service-level goals • Expand knowledge across functional areas and upskill to support evolving organizational and client needs • Identify process improvement opportunities and support workflow and operational enhancements • Prepare oral and written reports of client and audit activity for the Manager • Meet regularly with the Manager to review performance, mentoring, and succession planning

🎯 Requirements

• Extensive healthcare industry knowledge and experience in coding, billing, auditing, compliance, and reimbursement for physician practices • Knowledge of CPT, HCPCS, and ICD-10 • Extensive coding experience in multiple specialties • Extensive knowledge of AMA, OIG, CMS, and other national coding and compliance guidelines • Minimum five years performing medical auditing for multiple specialties • CPC®, CPMA™ or RHIT certification • Experience serving as a client point of contact and providing expert audit advice and recommendations • Experience developing and delivering training materials, PowerPoint presentations, webinars, and reports for physicians, management, and coders • Demonstrated ability to manage multiple projects simultaneously • Excellent written and verbal communication skills • Detail-oriented and deadline-driven • Critical-thinking and task-prioritization ability • Ability to multitask with a sense of urgency • Strong organizational skills and work ethic • Proficiency in Windows, Excel, Word, and PowerPoint • Ability to sit and use a keyboard and mouse for long periods • Ability to meet and maintain department production and quality standards • Legally authorized to work in the United States

🏖️ Benefits

• Competitive compensation commensurate with experience • Medical insurance • Dental insurance • Vision insurance • 401(k) retirement plan • Health Savings Account (HSA) • Generous PTO • Holiday pay