Senior Associate

BRG; United States; Remote; USD 70,000 - 115,000; Full time

Job summary

BRG is seeking a Healthcare Compliance Auditor within the Healthcare Transactions and Strategy (HTS) group. The Senior Associate will perform billing and coding audits, review compliance programs, and develop client deliverables while advancing within a high-growth healthcare consulting track.

The role includes training for CPC/CPMA or CCC-P/AOC certs, working with data analytics, and staying current on government compliance. A BS/BA and healthcare focus are required.

Qualifications

• 4-year degree (BS or BA) and passion for healthcare.
• Desire to obtain a medical coding certificate.
• Experience in healthcare consulting for coding/audit work is a plus.
• Preference for candidates with physician practice coding experience or auditing in health plans.

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 and communicate recommendations for improvement.
• Learn and stay current on coding guidelines and develop analyses using transactional/financial data.
• Generate client deliverables and contribute to expert reports.

Skills

Coding audits

Excel

PowerPoint

Access

Word

Attention to detail

Time management

Teamwork

Healthcare compliance

Analytical thinking

Education

BS or BA degree

Tools

Microsoft Office Suite

Job description

We Do Consulting Differently Are you a graduate from a top-tier university looking to break into the rapidly growing healthcare sector? We are seeking a highly analytical, detail-oriented individual with a deep passion for healthcare to join our team. No prior coding experience is required. We will fully fund and provide comprehensive training for your AAPC (CPC, CPMA) or AHIMA (CCC-P, AOC) certification. This position is a launchpad for a high-growth career in healthcare consulting! We are looking to make you into a great Healthcare Compliance Auditor within the Healthcare Transactions and Strategy (HTS) group. HTS performs regulatory, reimbursement, data analytics, and compliance auditing for healthcare providers, healthcare payers and healthcare investors. Compliance audit deliverables include assessment of provider compliance programs and auditing of billing and coding of clinical documents and claims documents. This position requires a highly motivated problem solver with strong analytical ability, solid organizational skills, and a desire to advance within the organization. Your career will start at the Senior Associate level. The work of a Senior Associate involves execution of engagement work streams that may be either qualitative or quantitative in nature, and responsibilities include: billing and coding audits, compliance program review, quality control, development of client deliverables, and industry research.

Job 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 compliance.
• 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 communicate 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.

Qualifications

• 4-year degree (BS or BA), a passion for healthcare, and a desire to get a medical coding certificate.
• Preference will be given to candidates that are certified in medical auditing.
• 1-2 years of work experience in a professional setting ideally in consulting with a focus on healthcare.
• Preference will be given to candidates that are experienced with physician practice coding (e.g. primary care, dermatology, orthopedics, ophthalmology), ASC coding, and/or post-acute coding (e.g. hospice, home health, SNFs).
• Preference will be given to candidates that have previously worked in a consulting firm environment in which their duties included auditing providers or providing audits associated with transactional diligence.
• Preference will be given to candidates who have worked in a role at a health plan auditing and reviewing providers in that plan’s network.

Required Skills

• A desire and ability to interpret national coding and documentation guidelines and translate them into effective auditing practices and tools; identify issues in coding and documentation practices and recommend corrective action; develop reports, track, and trend audit findings and results.
• Proficient user in Microsoft Office Suite, specifically Excel, PowerPoint, Access, and Word. A desire to expand those capabilities is required, as is the ability to train others to use such tools.
• Commitment to producing high-quality analysis and attention to detail.
• Excellent time management, organizational skills, and ability to prioritize work and meet deadlines.
• Keen interest in healthcare compliance and healthcare policy.
• Exceptional verbal and written communication skills.
• Desire to work within a team environment.

Consultant Salary Range

$70,000 – $115,000

Candidate must be able to submit verification of legal right to work in the U.S., without company sponsorship now or in the future.

About BRG BRG combines world-leading academic credentials with world-tested business expertise and purpose-built emerging technologies. Our culture centers on agility and connectivity which sets us apart and gets you ahead. At BRG, our professionals include specialist consultants, industry experts, renowned academics, and leading-edge data scientists. Together, they bring a diversity of real-world experience, data, and human and artificial intelligence, to economics, disputes, and investigations; corporate finance; and performance improvement services that address the most complex challenges facing organizations across the globe. Our unique structure nurtures the interdisciplinary relationships that give us the edge, laying the groundwork for more informed insights and more original, incisive thinking. When paired with our global reach and resources, our diverse perspectives and technical capabilities make us uniquely capable to address our clients’ challenges. We get results because we know how to apply our thinking to your world. At BRG, we don’t just show you what’s possible. We’re built to help you make it happen.

Equal Opportunity Employer

BRG is proud to be an Equal Opportunity Employer. Our hiring practices provide equal opportunity for employment without regard to race, religion, color, sex, gender, national origin, age, United States military veteran status, ancestry, sexual orientation, marital status, family structure, medical condition including genetic characteristics or information, veteran status, or mental or physical disability so long as the essential functions of the job can be performed with or without reasonable accommodation, or any other protected category under federal, state, or local law.

BRG is proud to be an Equal Opportunity Employer. Our hiring practices provide equal opportunity for employment without regard to race, religion, color, sex, gender, national origin, age, United States military veteran status, ancestry, sexual orientation, marital status, family structure, medical condition including genetic characteristics or information, veteran status, or mental or physical disability so long as the essential functions of the job can be performed with or without reasonable accommodation, or any other protected category under federal, state, or local law.

Accommodation

If you need reasonable accommodation for any part of the employment process, please contact us by email at [e-mail] and let us know the nature of your request and your contact information. Requests for Website Accessibility and Required Information for Online Applicant Tracking Systems accommodation will be considered on a case-by-case basis. Please note that only inquiries concerning a request for reasonable accommodation will be responded to from this email address.