Healthcare Compliance Auditor — Senior Associate (Remote)

Berkeley Research Group, LLC; Emeryville (CA); Remote; USD 70,000 - 115,000; Full time

Job summary

Berkeley Research Group, LLC (BRG) is seeking a Senior Associate in its Healthcare Transactions and Strategy (HTS) group to execute medical coding audits, compliance program reviews, and client deliverables. The role emphasizes analytical rigor, attention to detail, and collaboration across teams remotely from the USA.

The Senior Associate will advance healthcare compliance auditing skills, develop methodology, and contribute to analyses using transactional data while pursuing relevant

Qualifications

• 4-year degree (BS or BA) and a passion for healthcare.
• 1–2 years of work experience in a professional setting, preferably in healthcare consulting.
• Preference for medical auditing certification.
• Preference for experience with physician practice coding, ASC coding, and/or post-acute coding.
• Experience in a consulting firm environment with auditing/providers/diligence is a plus.

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.
• Perform coding and documentation audits, reviewing medical records and charges to ensure compliance.
• Analyze audit findings to identify trends and areas for improvement and communicate them clearly.
• Monitor current government compliance activity related to high-risk areas.
• Learn and stay current on coding guidelines.
• Develop analyses using transactional/financial data.
• Generate client deliverables and contribute to expert reports.
• Demonstrate use of software tools and analytical methods to develop solutions.
• Prioritize assignments to meet goals and deadlines.

Skills

Healthcare compliance auditing

Data analysis

Regulatory knowledge

Attention to detail

Time management

Communication

Teamwork

Education

Bachelor's degree (BS/BA) in a related field

Tools

Excel

PowerPoint

Access

Word

Microsoft Office Suite

Job description

Berkeley Research Group, LLC (BRG) is seeking a Senior Associate in its Healthcare Transactions and Strategy (HTS) group to execute medical coding audits, compliance program reviews, and client deliverables. The role emphasizes analytical rigor, attention to detail, and collaboration across teams remotely from the USA.

The Senior Associate will advance healthcare compliance auditing skills, develop methodology, and contribute to analyses using transactional data while pursuing relevant