Consultant - Healthcare Compliance Auditor - Hts

Berkeley Research Group (BRG)

Base: $70,000 – $150,000; bonus/equity: not specif...
Not specified
Active aapc or ahima coding certification
Knowledge of medicare and medicaid guidelines
Proficiency in cpt-4, hcpcs, and icd-10-cm systems
Berkeley Research Group (BRG) is seeking a Healthcare Compliance Auditor to join their Healthcare Transactions and Strategy (HTS) group. The role requires expertise in medical coding and compliance auditing, with a focus on government programs such as Medicare and Medicaid

Job Summary

  • This position involves executing engagement work streams that primarily employ certified coding skills to audit provider claims and clinical documentation for government programs.
  • Candidates must possess active coding certification from either AAPC or AHIMA and have at least two years of experience in healthcare provider billing and coding.
  • The role requires developing audit specifications, analyzing findings to identify trends, and communicating recommendations for improvement to clients.

Matching Summary

Match Score: 85

Berkeley Research Group (BRG) is seeking a Healthcare Compliance Auditor to join their Healthcare Transactions and Strategy (HTS) group. The role requires expertise in medical coding and compliance auditing, with a focus on government programs such as Medicare and Medicaid.

Salary

Base: $70,000 – $150,000; Bonus/Equity: Not specified; Benefits: Not specified

Skills & Requirements

Must-have

  • Active AAPC or AHIMA coding certification
  • Knowledge of Medicare and Medicaid guidelines
  • Proficiency in CPT-4, HCPCS, and ICD-10-CM systems
  • Experience with physician practice or ASC coding
  • Ability to develop audit methodologies and reports

Nice-to-have

  • Consulting firm environment experience
  • Health plan auditing background
  • Post-acute coding expertise
  • Data analytics and visualization skills
  • Business development participation

Key Requirements

  • 4-year degree (BS or BA)
  • Active CPC, CPMA, CCC-P, or AOC certification
  • 2+ years of healthcare provider billing and coding experience
  • No risk adjustment or inpatient hospital certifications desired
  • Legal right to work in the U.S. without sponsorship

Work Rights

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

Tailored Resume

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