This is a remote position
Job Duties:
The Sr. Auditor Project Lead will report to the Manager with a direct line of communication to the Directors. Responsibilities will include but not be limited to:
- Oversee the management of multiple projects. Manage client needs and expectations to ensure projects meet scope, requirements and deliverables are on-time and of high quality.
- Perform production work in addition to project management, meeting department’s quality and production standard thresholds.
- Responsible for maintaining department audit standards, clinical documentation standards, protocols and guidelines.
- Review auditor work for accuracy and provide feedback written and verbally to auditors.
- Audit medical records to validate clinical documentation to support evaluation and management services, ancillary services, procedures, and diagnoses and meet department quality and production standards.
- Research regulatory guidelines for supporting documentation.
- Prepare audit summary findings, providing detailed comments related to the audit findings and make recommendations.
- Support team with department key performance indicators and goals (SLAs).
- Embrace workforce transformation by engaging in continuous knowledge expansion across additional functional areas and/or upskilling (learning new skills) to support evolving organizational and client needs.
- Contribute to organizational optimization by collaborating to identify opportunities for process improvement and supporting continuous enhancements to workflows and operations that promote quality and efficiency.
- Prepares oral and/or written reports of client and audit activity for Manager, meeting with them on a regular basis to review individual performance, mentoring, and succession planning.
Minimum Requirements:
- Extensive healthcare industry knowledge and experience in and around coding, billing, auditing, compliance and reimbursement for physician practices including CPT, HCPCS, & ICD-10
- Extensive coding experience in multiple specialties
- Extensive knowledge of AMA, OIG, CMS and other national coding and compliance guidelines
- Serve as a point of contact for clients, providing expert advice and recommendations on audit results. Communicate effectively to ensure clients understand the complexities of their projects.
- Experience developing and delivering training material, PowerPoint presentations, webinars and reports for physicians, management and coders
- Demonstrated ability to successfully manage multiple projects simultaneously
- Excellent written and verbal communication skills
- Detail oriented and deadline driven attitude
- Ability to think critically and determine the best method for completing tasks
- Ability to multi-task and keep a sense of urgency
- Strong organizational skills and work ethic
- Proficient in Windows, Excel, Word, and PowerPoint
- Requires long periods of time sitting and using keyboard and mouse
- Meet and maintain department production and quality standards
Certification Requirements:
- CPC®
- CPMATM or RHIT
- AAPC Values:
DRIVEN | Self-starts and stays highly motivated to achieve ambitious goals. Shares contagious energy and enthusiasm liberally. Takes initiative without always being directed. Demonstrates confidence in decision-making and effectively balances autonomy and authority with accountability.
HUMBLE | Learns, adapts, and improves relentlessly. Seeks feedback without insecurity and implements coaching. Recognizes others' contributions gratefully. Approaches work and relationships with an abundance mentality. Places the needs of others above self.
TRANSPARENT| Integrity-centered, honest, truthful, and trustworthy in all aspects of work. Keeps commitments to external and internal parties. Holds self strictly accountable, valuing the trust placed in them by others.
SUPPORTIVE | Empowers and uplifts others. Listens actively and responds with empathy and understanding. Prioritizes well-being and growth of team members and customers ahead of own interest. Faces challenges together, believing in collective strength and unity.
INNOVATIVE | Entrepreneurial spirit with a scrappy mentality. Dreams big, sees opportunity, pursues full potential, and finds ways to accomplish the impossible. Rolls up sleeves and does real work. Works quickly, intelligently, and flexibly.
What We Offer:
AAPC offers a competitive compensation commensurate with experience, along with a comprehensive benefits package including medical, dental and vision insurance, 401(k) retirement plan, Health Savings Account (HSA), and generous PTO and holiday pay.
AAPC is an Equal Opportunity Employer. This company does not and will not discriminate in employment and personnel practices on the basis of race, sex, age, handicap, religion, national origin or any other basis prohibited by applicable law. Hiring, transferring and promotion practices are performed without regard to the above listed items.
Skills Required
- Extensive healthcare industry knowledge in coding, billing, auditing, compliance and reimbursement for physician practices (including CPT, HCPCS, ICD-10).
- Extensive coding experience across multiple specialties.
- Extensive knowledge of AMA, OIG, CMS and national coding/compliance guidelines.
- CPC® certification and CPMA™ or RHIT certification.
- Demonstrated ability to manage multiple projects and meet department production and quality standards.
- Experience developing and delivering training materials, presentations, webinars, and reports for physicians, management and coders.
- Excellent written and verbal communication skills; ability to serve as client point of contact and explain audit results.
- Proficient in Windows, Excel, Word, and PowerPoint.
- Detail-oriented, deadline driven, strong organizational skills, ability to multi-task and think critically.
- Ability to sit for long periods using keyboard and mouse.
What We Do
AAPC was founded in 1988 to provide education and professional certification to physician-based medical coders and to elevate the standards of medical coding by providing student training, certification, ongoing education, networking, and job opportunities. Since then, AAPC has expanded beyond coding to include training and credentials in documentation and coding audits, regulatory compliance, and physician practice management. AAPC's membership includes over 200,000 healthcare professionals worldwide, of which more than 100,000 are certified. AAPC has the largest network of billing, coding, auditing, and practice management professionals. We provide a suite of software and services that support healthcare organizations with training, accreditation, and the tools necessary to ensure revenue optimization. Learn more at this link: https://www.aapc.com/business/auditing-and-coding-services.aspx AAPC certifications encompass the entire business side of provider care, with physician coding (CPC®), hospital outpatient facility (COC®), hospital inpatient facility (CIC®), risk adjustment coding (CRC®), payer perspective coding (CPC-P®), practice management (CPPM™), and more. All certifications demonstrate a hands-on, working knowledge to support cleaner claim submissions, faster reimbursement, fewer denials, and better run practices. Specialty coding credentials are currently offered in 20 different fields of expertise. AAPC offers continuing education for all credentials through local chapters, workshops, webinars, a monthly newsmagazine (Healthcare Business Monthly), other publications, and conferences.
