SIU Medical Record Audit Manager — Compliance & Impact

IEHP; Rancho Cucamonga (CA); Presencial; USD 119.000 - 157.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Competitive salary

Fitness center on-site

Medical, dental, and vision insurance

Life and disability insurance

Career advancement opportunities

Wellness programs

Flexible Spending Account

CalPERS retirement

457(b) option with contribution match

Paid life insurance

Pet care insurance

Descripción de la vacante

IEHP is seeking a SIU Medical Record Audit Manager in Rancho Cucamonga to lead medical record audit functions within the FWA framework. This role requires at least seven years of experience in medical record audits, including a management capacity overseeing auditors.

Responsibilities include overseeing audits, developing performance metrics, and ensuring compliance with regulatory standards. The successful candidate will contribute to financial impact through overpayment identification and

Formación

• Minimum of seven years of progressively responsible experience in medical record audits.
• Experience with medical record audits supporting statistical sampling and extrapolated recovery.
• Demonstrated experience defending review determinations through provider dispute or regulatory audit.

Responsabilidades

• Oversee and develop a team of Medical Record Auditors.
• Direct complex coding and documentation audits of medical records.
• Generate measurable financial impact through overpayment identification.

Conocimientos

Medical record audits

Coding audit

Healthcare compliance

Leadership

Analytical skills

Communication

Educación

Bachelor’s degree in related field

Advanced degree preferred

Certified Professional Coder (CPC)

Certified Medical Auditor (CPMA)

Certified Coding Specialist (CCS)

Herramientas

Excel

Word

PowerPoint

Descripción del empleo

IEHP is seeking a SIU Medical Record Audit Manager in Rancho Cucamonga to lead medical record audit functions within the FWA framework. This role requires at least seven years of experience in medical record audits, including a management capacity overseeing auditors.

Responsibilities include overseeing audits, developing performance metrics, and ensuring compliance with regulatory standards. The successful candidate will contribute to financial impact through overpayment identification and