Medical Coding Auditor

Medical Coding Auditor

• Location: United States


• Job Type: PERMANENT


• Job Time: FULLTIME

Job Description:

Position Summary

Our healthcare consultants are leaders in providing measurable and sustainable results to clients. We combine traditional performance improvement with our clinical approach to help hospitals transform their organizations and significantly improve their margins, with strategies that emphasize rapid results and considerable return on investment.

Headquartered in Emeryville, California, BRG currently has over 36 offices across the U.S. and internationally. This position offers advancement opportunities within a rapidly growing expert services and consulting firm.

The Managing Consultant position is a mid-level consulting staff position that can be based remotely. This position requires a highly motivated problem solver with solid analytical ability, strong organizational skills, and a desire to advance within the organization. The work of a Managing Consultant will involve both execution and oversight of engagement work streams that may be either qualitative or quantitative in nature, and responsibilities include: management of junior staff, design of statistical and financial analysis, modeling of financial data and markets, quality control, development and presentation of client deliverables, management of existing client relationships, industry research, and expansion of the business. This specific position will require knowledge of medical coding and compliance and potential candidates will have medical auditing expertise.

Job Responsibilities

• Plan and manage all aspects of small to medium sized client engagements and discreet segments of larger projects.


• Delegate assignments to staff, instruct and monitor progress, and review work product for completeness and accuracy.


• Plan and perform medical record audits to determine coding accuracy and compliant claims submission.


• Develop analyses using transactional data and/or financial data.


• Generate client deliverables and make valuable contributions to expert reports.


• Manage client relationships and communicate results and work product as appropriate.


• Demonstrate creativity and efficient use of relevant software tools, analytical methods and computer models to develop solutions.


• Participate in group practice meetings, contribute to business development initiatives and office functions such as staff training and recruiting.


• Prioritize assignments and responsibilities in order to meet goals and deadlines.

Qualifications

• A degree (e.g., BS, BBA, MBA, M.A., M.S., etc.) with a focus in healthcare financial management (accounting, finance, economics, information systems) or equivalent experience.


• Coding certification from either AAPC or AHIMA is required.


• Certification in healthcare compliance from either HCCA or AAPC is preferred. Candidates meeting minimum requirements in all other areas will be considered if they are willing to obtain a compliance certification within six months of hire.


• Preference will be given to candidates that are certified in medical auditing.


• 5+ years of work experience with a focus on healthcare financial management or healthcare informatics.


• Proven capability with Microsoft Office Suite, specifically advanced Excel, PowerPoint, and Word. A desire to expand those capabilities is required, as is the ability to train others to use such tools.


• Desire and ability to manage processes and other consultants.


• Commitment to producing high-quality analysis and attention to details.


• Keen interest in economic or financial analysis and research.


• Exceptional verbal and written communication skills.


• Desire to work within a team environment.

About BRG

Berkeley Research Group works with standalone community hospitals, multihospital health systems, and major academic medical centers to achieve greater results through transformational performance improvement. Our consultants have years of experience assisting hospitals with reducing labor and non-labor costs and improving revenue cycle operations. Our expert data analysts, physicians, and other clinicians aggregate complex clinical, cost, and quality data to better inform decision making and engage physicians in driving cost and quality improvements through clinical redesign.

Candidate must be able to submit verification of his/her legal right to work in the U.S., without company sponsorship.

BRG is an Equal Employment Opportunity/Affirmative Action Employer. All qualified candidates will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability, or protected veteran status.