Healthcare Compliance Auditor – Analytics & Coding Focus

Berkeley Research Group; United States; On-site; USD 70,000 - 115,000; Full time

Job summary

Berkeley Research Group (BRG) invites a Healthcare Compliance Auditor to join the HTS group in the United States. You will conduct medical record audits, develop auditing methodologies, and deliver client-ready reports while staying current on coding guidelines and industry developments.

The role starts at Associate or Senior Associate level, with training to obtain AAPC or AHIMA certifications. Strong analytical skills and teamwork are essential to succeed in regulatory, reimbursement, and data

Qualifications

• 4-year degree (BS/BA) and healthcare interest.
• 1–2 years' professional experience in consulting or healthcare.
• Desire to obtain medical coding certification.

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 in coding and documentation.
• Perform coding and documentation audits, reviewing medical records and charges to ensure compliance.
• Conduct analysis of audit findings to identify trends/problems in coding and documentation and effectively communicates the audit findings and recommended areas for improvement.
• Monitor relevant resources, publications, and current government compliance and enforcement activity related to high-risk compliance areas.
• Learn and stay current on coding guidelines.
• Develop analyses using transactional data and/or financial data.
• Generate client deliverables and make valuable contributions to expert reports.
• Demonstrate creativity and efficient use of relevant software tools and analytical methods to develop solutions.
• Prioritize assignments and responsibilities to meet goals and deadlines.

Skills

Analytical thinking

Attention to detail

Time management

Communication skills

Team collaboration

Education

Bachelor's degree (BS/BA)

Tools

Microsoft Excel

Microsoft PowerPoint

Access

Word

Job description

Berkeley Research Group (BRG) invites a Healthcare Compliance Auditor to join the HTS group in the United States. You will conduct medical record audits, develop auditing methodologies, and deliver client-ready reports while staying current on coding guidelines and industry developments.

The role starts at Associate or Senior Associate level, with training to obtain AAPC or AHIMA certifications. Strong analytical skills and teamwork are essential to succeed in regulatory, reimbursement, and data