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
- Work remotely with flexible options
- Supportive and collaborative work environment
- Chance to make a significant impact on healthcare compliance and policy
What to Expect (Job Responsibilities):
- Plan and perform medical record audits to ensure coding accuracy and compliant claims submission
- Develop audit methodologies focusing on key risk areas in coding and documentation compliance
- Conduct analysis of audit findings to identify trends and communicate recommended improvements
- Serve as a subject matter expert on coding and documentation guidelines
- Manage client relationships and oversee junior staff as directed by senior managers
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 Managing Consultant level
- Comprehensive knowledge of Medicare rules, regulations, and guidelines
- Exceptional verbal and written communication skills
How to Stand Out (Preferred Qualifications):
- Certification in medical auditing
- Experience with physician practice coding (e.g., primary care, dermatology, orthopedics)
- Advanced knowledge of CPT-4, HCPCS, and ICD-10-CM coding systems
- Proficient user of Microsoft Office Suite, particularly Excel and PowerPoint
- Keen interest in healthcare compliance and healthcare policy
#HealthcareConsulting #ComplianceAuditing #RemoteWork #CareerGrowth #HealthcarePolicyAbout the company
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