Healthcare Compliance Auditor (healthcare Transaction & Strategy)

Berkeley Research Group (BRG)

Remote
Consultant salary range: $70,000 – $150,000; manag...
Remote
Coding accuracy and compliant claims submission
Coding and documentation audit methodology
Cpt-4/hcpcs and icd-10-cm coding guidelines
Berkeley Research Group (BRG) is seeking a Healthcare Compliance Auditor for their Healthcare Transactions and Strategy team, with positions available for both Consultant and Managing Consultant levels. The role involves auditing provider compliance programs and ensuring adherence to coding guidelines, particularly for government programs like Medicare and Medicaid, and requires a strong analytical background and medical coding expertise

Job Summary

  • The Healthcare Compliance Auditor position is a staff consulting position within the Healthcare Transactions and Strategy (HTS) group, performing regulatory, reimbursement, data analytics, and compliance auditing for healthcare providers, payers, and investors.
  • Responsibilities include assessment of provider compliance programs, auditing of billing and coding of clinical documents and claims, and developing client deliverables.
  • This position requires a highly motivated problem solver with strong analytical ability, solid organizational skills, and a desire to advance within the organization.

Matching Summary

Match Score: 85

Berkeley Research Group (BRG) is seeking a Healthcare Compliance Auditor for their Healthcare Transactions and Strategy team, with positions available for both Consultant and Managing Consultant levels. The role involves auditing provider compliance programs and ensuring adherence to coding guidelines, particularly for government programs like Medicare and Medicaid, and requires a strong analytical background and medical coding expertise.

Salary

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

Skills & Requirements

Must-have

  • coding accuracy and compliant claims submission
  • coding and documentation audit methodology
  • CPT-4/HCPCS and ICD-10-CM coding guidelines
  • CMS coverage guidelines
  • Medicare rules and regulations

Nice-to-have

  • advance within the organization
  • creative and efficient use of tools
  • contribute to business development

Key Requirements

  • An undergraduate degree (e.g., BS, BA)
  • Active coding certification from AAPC or AHIMA
  • Medical auditing expertise preferred
  • 2+ years of work experience for Consultant
  • 5-7 years of experience for Managing Consultant

Work Rights

Must have legal right to work in the U.S.

Tailored Resume

Cover Letter