Job Description
This is a remote position Job Duties: The Medical Auditor Project Lead will report to the Manager. Responsibilities will include but not be limited to: Oversee the management of multiple projects. Manage client needs and expectations to ensure projects meet scope, requirements and deliverables are on-time and of high quality. Perform production work in addition to project management, meeting department’s quality and production standard thresholds. Responsible for maintaining department audit standards, clinical documentation standards, protocols and guidelines. Review auditor work for accuracy and provide feedback written and verbally to auditors. Audit medical records to validate clinical documentation to support evaluation and management services, ancillary services, procedures, and diagnoses and meet department quality and production standards. Research regulatory guidelines for supporting documentation. Prepare audit summary findings, providing detailed comments related to the audit findings and make recommendations. 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. Prepares oral and/or written reports of client and audit activity for Manager, meeting with them on a regular basis to review individual performance, mentoring, and succession planning. Minimum Requirements: 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
