Remote Senior Auditor: Compliance & Process Improvement

AAPC

United States

Remote

USD 85,000 - 115,000

Full time

14 days+

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Job summary

AAPC is seeking a Sr. Auditor for a remote role reporting to the Manager of AAPC Services. Responsibilities include auditing medical records to support evaluation and management services, regulatory guideline research, and preparing audit summaries.

The ideal candidate has 5+ years auditing, knowledge of AMA/OIG/CMS, strong communication, and ability to own projects. Will maintain production standards and collaborate on KPIs and continuous improvement.

Qualifications

Minimum 5 years of auditing experience.
Auditing in multiple specialties.
Knowledge of AMA, OIG, CMS guidelines.
Excellent written and verbal communication.
Ability to own an entire project.
Detail oriented and deadline driven.
Strong computer skills (Excel, Word, internet).

Responsibilities

Audit medical records to validate clinical documentation to support evaluation and management services, ancillary services, procedures, diagnoses, and clinical documentation requirements and gaps, missed opportunities, and meet quality and production requirement standards. Auditor will review project guidelines to ensure deliverables are on-time and meeting client specific requirements.
Research regulatory guidelines for supporting documentation when necessary.
Prepare audit summary findings, provide detailed comments related to the audit findings and make recommendations.
Consistently maintain production standards for job role, and quality metrics of 95% or greater.
Responsible for maintaining department audit standards, clinical documentation standards, protocols and guidelines.
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.
Prepare oral and/or written reports of audit activity to Manager meeting with them on a regular basis to review individual performance, mentoring, and succession planning.