Berkeley Research Group, LLC
Healthcare Compliance Auditor (Healthcare Transaction & Strategy)
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Job Description
- Req#: JR100430
Employer Industry: Healthcare Consulting
Why consider this job opportunity:
- Salary up to $230,000 for Managing Consultant level
- Opportunity for career advancement and growth within the organization
- Supportive and collaborative work environment
- Engage in impactful work by auditing healthcare compliance and improving client outcomes
- Work with a team of industry experts and specialists in healthcare consulting
- Flexibility to participate in remote work
What to Expect (Job Responsibilities):
- Plan and perform medical record audits to determine coding accuracy and compliant claims submission
- Develop coding and documentation audit methodology using knowledge of key risk areas
- Conduct analysis of audit findings to identify trends/problems in coding and documentation
- Manage client relationships and communicate results and work products appropriately
- Participate in group practice meetings and contribute to business development initiatives
What is Required (Qualifications):
- An undergraduate degree (e.g., BS, BA)
- Active coding certification from either AAPC or AHIMA
- 2+ years of work experience in healthcare provider billing and coding; 5-7 years for the Managing Consultant level
- Comprehensive knowledge of Medicare rules, regulations, and guidelines
- Advanced knowledge of CPT-4, HCPCS, and ICD-10-CM coding systems
How to Stand Out (Preferred Qualifications):
- Certification in medical auditing
- Experience with physician practice coding (e.g., primary care, dermatology, orthopedics)
- Familiarity with ASC coding and/or post-acute coding (e.g., hospice, home health)
- Proficient in Microsoft Office Suite, especially Excel and PowerPoint
- Keen interest in healthcare compliance and healthcare policy
#HealthcareConsulting #ComplianceAuditor #CareerOpportunity #RemoteWork #HealthcarePolicyAbout the company
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