Senior Auditor

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AAPC

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 1988

⚕️ Healthcare Insurance

📚 Education

📋 Compliance

Healthcare Insurance • Education • Compliance

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 to support evaluation and management services, ancillary services, procedures, diagnoses, and clinical documentation requirements and gaps, missed opportunities, and meet quality and production requirement standards. • Review project guidelines to ensure deliverables are on-time and meeting client specific requirements. • Research regulatory guidelines for supporting documentation when necessary. • Prepare audit summary findings, provide detailed comments related to the audit findings and make recommendations. • Consistently maintain production standards for job role, and quality metrics of 95% or greater. • Responsible for maintaining department audit standards, clinical documentation standards, protocols and guidelines. • 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. • Prepare oral and/or written reports of audit activity to Manager meeting with them on a regular basis to review individual performance, mentoring, and succession planning.

🎯 Requirements

• Minimum 5 years of auditing experience • Extensive auditing 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 (Excel, Word, and internet) • Ability to multitask and keep a sense of urgency • Excellent customer service skills • Strong time management, organization skills, and work ethic • Certification requirements: CPC® & CPMA, RHIT or CPMATM

🏖️ Benefits

• Equal Opportunity Employer • Professional development opportunities