[Hiring] Healthcare Compliance Auditor @BRG

Role Description

The Healthcare Compliance Auditor position is a staff consulting position within the Healthcare Transactions and Strategy (HTS) group. HTS performs regulatory, reimbursement, data analytics, and compliance auditing for healthcare providers, healthcare payers, and healthcare investors.

• Assessment of provider compliance programs
• Auditing of billing and coding of clinical documents and claims documents
• Execution of engagement work streams involving certified coding skills to audit provider claims and clinical documentation
• Focus on government programs such as Medicare and Medicaid
• Develop audit specifications and perform expert analysis of healthcare claims
• Quality control and development of client deliverables

The work of a Consultant involves:

• Billing and coding audits
• Compliance program review
• Quality control
• Development of client deliverables
• Industry research

The work of a Managing Consultant involves:

• Management of junior staff
• Quality control
• Development and presentation of client deliverables
• Industry research

This specific position will require knowledge of medical coding and compliance, and potential candidates must have medical auditing expertise.

Qualifications

• An undergraduate degree (e.g., BS, BA)
• Active coding certification from either AAPC or AHIMA is required
• Preference for candidates certified in medical auditing
• 2+ years of work experience with a focus on healthcare provider billing and coding; 5-7 years for Managing Consultant level
• Experience with physician practice coding (e.g. primary care, dermatology, orthopedics, ophthalmology), ASC coding, and/or post-acute coding (e.g. hospice, home health, SNFs)
• Comprehensive knowledge of Medicare rules, regulations, and guidelines
• Advanced knowledge of CPT-4, HCPCS, and ICD-10-CM coding systems

Requirements

• Ability to interpret national coding and documentation guidelines
• Proficient user in Microsoft Office Suite, specifically Excel, PowerPoint, Access, and Word
• Commitment to producing high quality analysis and attention to detail
• Excellent time management and organizational skills
• Keen interest in healthcare compliance and healthcare policy
• Exceptional verbal and written communication skills
• Desire to work within a team environment
• Must be able to submit verification of legal right to work in the U.S., without company sponsorship

Benefits

• Consultant Salary Range: $70,000 – $150,000
• Managing Consultant Salary Range: $100,000 – $230,000