Senior Auditor-Project Lead

This is a remote position

Job Duties:

The Sr. Auditor Project Lead will report to the Manager with a direct line of communication to the Directors. 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.

• 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
• Serve as a point of contact for clients, providing expert advice and recommendations on audit results. Communicate effectively to ensure clients understand the complexities of their projects.
• 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

• CPC®
• CPMATM or RHIT

• AAPC Values:
  
  DRIVEN | Self-starts and stays highly motivated to achieve ambitious goals. Shares contagious energy and enthusiasm liberally. Takes initiative without always being directed. Demonstrates confidence in decision-making and effectively balances autonomy and authority with accountability.
  
  HUMBLE | Learns, adapts, and improves relentlessly. Seeks feedback without insecurity and implements coaching. Recognizes others' contributions gratefully. Approaches work and relationships with an abundance mentality. Places the needs of others above self.
  
  TRANSPARENT| Integrity-centered, honest, truthful, and trustworthy in all aspects of work. Keeps commitments to external and internal parties. Holds self strictly accountable, valuing the trust placed in them by others.
  
  SUPPORTIVE | Empowers a