Apply on Employer Site

BRG · 3 days ago

Associate - Healthcare Compliance Auditor (Healthcare Transaction Strategy)

United States

Full-time

Remote

New Grad, Entry Level

$70K/yr - $100K/yr

0+ years exp

BRG is a consulting firm that specializes in healthcare transactions and strategy. The Associate position involves conducting compliance audits and analysis for healthcare providers and payers, focusing on government programs like Medicare and Medicaid.

AdviceConsultingFinanceFinancial ServicesManagement Consulting

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

Medical coding certificationCPT-4 codingICD-10-CM codingHealthcare complianceData analysisMicrosoft Office SuiteAttention to detailTime managementOrganizational skillsTeamworkVerbal communicationWritten communication

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

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

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

Internships, fellowships, or work experience in a hospital or healthcare system preferred

Some knowledge of CPT-4, HCPCS, and ICD-10-CM coding systems, guidelines, and regulatory requirements is preferred

Company

BRG

Glassdoor3.7

BRG combines world-leading academic credentials with world-tested business expertise, purpose-built for agility and connectivity, which sets us apart—and gets our clients ahead.

Founded in 2010

Emeryville, California, USA

1001-5000 employees