Senior Auditor

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Logo of AAPC

AAPC

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

• Audit medical records to validate clinical documentation supporting evaluation and management services, ancillary services, procedures, diagnoses, and documentation requirements and gaps • Review project guidelines to ensure deliverables are on time and meet client-specific requirements • Research regulatory guidelines for supporting documentation • Prepare audit summary findings, detailed comments, and recommendations • Maintain production standards and quality metrics of 95% or greater • Maintain department audit standards, clinical documentation standards, protocols, and guidelines • Support department KPIs and SLAs • Expand knowledge across additional functional areas and upskill to support evolving organizational and client needs • Identify process-improvement opportunities and support workflow and operational enhancements • Prepare oral and/or written audit activity reports for the Manager • Meet regularly with the Manager to review individual performance, mentoring, and succession planning

🎯 Requirements

• Minimum 5 years of auditing experience • Extensive auditing experience in multiple specialties • Extensive knowledge of AMA, OIG, CMS, and other national coding and compliance guidelines • Excellent written and verbal communication skills • Ability to own an entire project • Detail-oriented and deadline-driven attitude • Ability to think critically and determine the best method for completing tasks • Strong computer skills, including Excel, Word, and internet use • Ability to multitask and maintain a sense of urgency • Excellent customer service skills • Strong time-management and organizational skills and work ethic • Requires long periods of sitting and using a keyboard and mouse • CPC® and CPMA certification required • RHIT or CPMA™ certification required • Legal authorization to work in the United States

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