BRG Concepts ยท 3 weeks ago
Associate - Healthcare Compliance Auditor (Healthcare Transaction Strategy)
United States
Full-time
Remote
New Grad, Entry Level
$70K/yr - $100K/yr
0+ years expBRG Concepts is a consulting firm specializing in healthcare transactions and strategy. They are seeking an Associate Healthcare Compliance Auditor to support client engagements, conduct coding and documentation audits, and develop audit methodologies within the healthcare sector.
Hospitality
No H1B
Responsibilities
Support client engagements and discrete segments of larger projects
Research healthcare program requirements and payer guidelines
Develop coding and documentation audit methodology using knowledge of key risk areas in coding and documentation compliance
Perform coding and documentation audits, reviewing medical records and charges to ensure compliance with CPT-4/HCPCS and ICD-10-CM coding guidelines and standards, as well as the Centers for Medicare & Medicaid Services (CMS) coverage guidelines
Conduct analysis of audit findings to identify trends/problems in coding and documentation and effectively communicate the audit findings and recommended areas for improvement to senior members of the team
Monitor relevant resources, publications, and current government compliance and enforcement activity related to high-risk compliance areas
Stay current on coding guidelines
Develop analyses using transactional data and/or financial data
Make valuable contributions to client deliverables
Demonstrate creativity and efficient use of relevant software tools and analytical methods to develop solutions
Participate in group practice meetings
Prioritize assignments and responsibilities to meet goals and deadlines
Qualification
Required
An undergraduate degree in a major relevant to healthcare (Public Health, Healthcare Administration, etc.)
An active coding certification (may be in apprentice status) or willingness to obtain a coding certification from either AAPC or AHIMA within 6 months of hire
An interest in medical auditing
0-2 years of work experience that demonstrates a strong interest in the healthcare industry; Internships, fellowships, or work experience in a hospital or healthcare system preferred. Candidates with more than 3 years of experience will not be considered for this role
Strong attention to detail
Excellent time management, organizational skills, and ability to prioritize work and meet deadlines
Keen interest in healthcare compliance and healthcare policy
Exceptional verbal and written communication skills
Desire to work within a team environment
Preferred
Preference will be given to candidates who possess some knowledge of Medicare rules, regulations, and guidelines as they apply to coverage, coding, and provider documentation
Some knowledge of CPT-4, HCPCS, and ICD-10-CM coding systems, guidelines, and regulatory requirements is preferred
Proficient user in Microsoft Office Suite, specifically Excel, PowerPoint, Access, and Word. A desire to expand those capabilities is required
Company
BRG Concepts
With the launch of our flagship restaurant Brimstone Woodfire Grill in 2006, Brimstone Restaurant Group (BRG) has developed, operated, and managed groundbreaking hospitality and culinary experiences in South Florida and beyond.
51-200 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase