Healthcare Compliance Auditor (healthcare Transaction & Strategy)

Berkeley Research Group (BRG)

Remote
Consultant salary range: $70,000 – $150,000; manag...
Fully remote
Medical record audits
Coding accuracy assessment
Claims submission compliance
HTS performs regulatory, reimbursement, data analytics, and compliance auditing for healthcare providers, healthcare payers and healthcare investors

Job Summary

  • HTS performs regulatory, reimbursement, data analytics, and compliance auditing for healthcare providers, healthcare payers and healthcare investors.
  • The work of a Healthcare Compliance Auditor will involve execution of engagement work streams that will primarily involve employing certified coding skills to audit provider claims and provider clinical documentation with a particular focus on government programs such as Medicare and Medicaid.
  • BRG combines world-leading academic credentials with world-tested business expertise purpose-built for agility and connectivity, which sets us apart—and gets you ahead.

Matching Summary

HTS performs regulatory, reimbursement, data analytics, and compliance auditing for healthcare providers, healthcare payers and healthcare investors.

Salary

Consultant Salary Range: $70,000 – $150,000; Managing Consultant Salary Range: $100,000 – $230,000; Benefits: Not specified

Skills & Requirements

Must-have

  • Medical record audits
  • Coding accuracy assessment
  • Claims submission compliance
  • CMS coverage guidelines
  • Transactional data analysis
  • Client deliverable development

Nice-to-have

  • Problem solver with analytical ability
  • Desire to advance within organization
  • Creativity and efficient software use
  • Commitment to high quality analysis
  • Keen interest in healthcare policy

Key Requirements

  • Active coding certification (AAPC or AHIMA)
  • 2+ years healthcare provider billing and coding experience
  • 5-7 years experience for Managing Consultant
  • Knowledge of Medicare rules and regulations
  • Advanced knowledge of CPT-4, HCPCS, ICD-10-CM

Work Rights

Must be able to submit verification of legal right to work

Tailored Resume

Cover Letter