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Senior Auditor-Project Lead



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0-2 Years
2 months ago
272 Viewed
23 Applied

Job Description

  • Extensive healthcare industry knowledge and experience in and around coding, billing, auditing, compliance and reimbursement for physician practices including CPT, HCPCS, ICD-10
  • Extensive coding experience in multiple specialties
  • Extensive knowledge of AMA, OIG, CMS and other national coding and compliance guidelines
  • Experience developing and delivering training material, PowerPoint presentations, webinars and reports for physicians, management and coders
  • Demonstrated ability to successfully manage multiple projects simultaneously
  • Excellent written and verbal communication skills
  • Detail oriented and deadline driven attitude
  • Ability to think critically and determine the best method for completing tasks
  • Ability to multi-task and keep a sense of urgency
  • Strong organizational skills and work ethic
  • Proficient in Windows, Excel, Word, and PowerPoint
  • Requires long periods of time sitting and using keyboard and mouse
  • Meet and maintain department production and quality standards

Essential Functions:
  • Manage client needs and expectations to ensure project scope, requirements and deliverables are developed appropriately with clients.
  • Perform production work in addition to project management.
  • Responsible for maintaining department audit standards, protocols and guidelines.
  • Provide feedback written and verbally to coders, auditors, and/or providers.
  • Audit medical records to validate clinical documentation to support evaluation and management services, ancillary services, procedures, and diagnoses.
  • Research regulatory guidelines for supporting documentation.
  • Prepare audit summary findings, providing detailed comments related to the audit findings and make recommendations.
  • Prepares oral and/or written reports of audit activity for Supervisor.
Certification Requirements:
  • CPC

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Last Updated: 24-04-2024 04:10:04 AM
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