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Senior Auditor-Project Lead
<p><span style="font-size:14px;"><span style="font-family:Arial, Helvetica, sans-serif;"><u><strong>This is a remote position</strong></u></span></span><br><br><b style="font-family:Arial, sans-serif;font-size:10pt;">Job Duties:</b></p><p><br><span style="font-size:10pt;"><span style="font-family:Arial, sans-serif;">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:</span></span><br> </p><ul style="margin-top:8px;"><li style="margin-top:8px;margin-bottom:13px;margin-left:8px;"><span style="font-size:10pt;"><span style="font-family:Arial, sans-serif;">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. </span></span></li><li style="margin-bottom:11px;margin-left:8px;"><span style="font-size:10pt;"><span style="line-height:107%;"><span style="font-family:Arial, sans-serif;"><span style="line-height:107%;">Perform production work in addition to project management, meeting department’s quality and production standard thresholds.</span></span></span></span></li><li style="margin-bottom:13px;margin-left:8px;"><span style="font-size:10pt;"><span style="line-height:115%;"><span style="font-family:Arial, sans-serif;">Responsible for maintaining department audit standards, clinical documentation standards, protocols and guidelines.</span></span></span></li><li style="margin-bottom:11px;margin-left:8px;"><span style="font-size:10pt;"><span style="line-height:107%;"><span style="font-family:Arial, sans-serif;">Review auditor work for accuracy and provide feedback written and verbally to auditors. </span></span></span></li><li style="margin-bottom:11px;margin-left:8px;"><span style="font-size:10pt;"><span style="line-height:107%;"><span style="font-family:Arial, sans-serif;"><span style="line-height:107%;"><span style="color:#000000;">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.</span></span></span></span></span></li><li style="margin-bottom:11px;margin-left:8px;"><span style="font-size:10pt;"><span style="line-height:107%;"><span style="font-family:Arial, sans-serif;"><span style="line-height:107%;">Research regulatory guidelines for supporting documentation. </span></span></span></span></li><li style="margin-bottom:11px;margin-left:8px;"><span style="font-size:10pt;"><span style="line-height:107%;"><span style="font-family:Arial, sans-serif;"><span style="line-height:107%;"><span style="color:#000000;">Prepare audit summary findings, providing detailed comments related to the audit findings and make recommendations.</span></span></span></span></span></li><li style="margin-bottom:11px;margin-left:8px;"><span style="font-size:10pt;"><span style="line-height:107%;"><span style="font-family:Arial, sans-serif;"><span style="line-height:107%;">Support team with department key performance indicators and goals (SLAs).</span></span></span></span></li><li style="margin-bottom:11px;margin-left:8px;"><span style="font-size:10pt;"><span style="line-height:107%;"><span style="font-family:Arial, sans-serif;"><span style="line-height:107%;">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. </span></span></span></span></li><li style="margin-bottom:11px;margin-left:8px;"><span style="font-size:10pt;"><span style="line-height:107%;"><span style="font-family:Arial, sans-serif;">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.</span></span></span></li><li style="margin-left:8px;"><span style="font-size:10pt;"><span style="line-height:107%;"><span style="font-family:Arial, sans-serif;"><span style="line-height:107%;">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. </span></span></span></span></li></ul><br><span style="font-size:10pt;"><span style="font-family:Arial, sans-serif;"><b>Minimum Requirements:</b></span></span><ul style="margin-bottom:11px;"><li style="margin-bottom:13px;margin-left:8px;"><span style="font-size:10pt;"><span style="line-height:115%;"><span style="font-family:Arial, sans-serif;"><span style="line-height:115%;">Extensive healthcare industry knowledge and experience in and around coding, billing, auditing, compliance and reimbursement for physician practices including CPT, HCPCS, & ICD-10</span></span></span></span></li><li style="margin-bottom:13px;margin-left:8px;"><span style="font-size:10pt;"><span style="line-height:115%;"><span style="font-family:Arial, sans-serif;"><span style="line-height:115%;">Extensive coding experience in multiple specialties </span></span></span></span></li><li style="margin-bottom:13px;margin-left:8px;"><span style="font-size:10pt;"><span style="line-height:115%;"><span style="font-family:Arial, sans-serif;"><span style="line-height:115%;">Extensive knowledge of AMA, OIG, CMS and other national coding and compliance guidelines</span></span></span></span></li><li style="margin-bottom:13px;margin-left:8px;"><span style="font-size:10pt;"><span style="line-height:115%;"><span style="font-family:Arial, sans-serif;"><span style="line-height:115%;">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.</span></span></span></span></li><li style="margin-bottom:13px;margin-left:8px;"><span style="font-size:10pt;"><span style="line-height:115%;"><span style="font-family:Arial, sans-serif;"><span style="line-height:115%;">Experience developing and delivering training material, PowerPoint presentations, webinars and reports for physicians, management and coders</span></span></span></span></li><li style="margin-bottom:13px;margin-left:8px;"><span style="font-size:10pt;"><span style="line-height:115%;"><span style="font-family:Arial, sans-serif;"><span style="line-height:115%;">Demonstrated ability to successfully manage multiple projects simultaneously</span></span></span></span></li><li style="margin-top:8px;margin-bottom:13px;margin-left:8px;"><span style="font-size:10pt;"><span style="line-height:115%;"><span style="font-family:Arial, sans-serif;"><span style="line-height:115%;">Excellent written and verbal communication skills </span></span></span></span></li><li style="margin-bottom:13px;margin-left:8px;"><span style="font-size:10pt;"><span style="line-height:115%;"><span style="font-family:Arial, sans-serif;"><span style="line-height:115%;">Detail oriented and deadline driven attitude</span></span></span></span></li><li style="margin-bottom:13px;margin-left:8px;"><span style="font-size:10pt;"><span style="line-height:115%;"><span style="font-family:Arial, sans-serif;"><span style="line-height:115%;">Ability to think critically and determine the best method for completing tasks</span></span></span></span></li><li style="margin-bottom:13px;margin-left:8px;"><span style="font-size:10pt;"><span style="line-height:115%;"><span style="font-family:Arial, sans-serif;"><span style="line-height:115%;">Ability to multi-task and keep a sense of urgency</span></span></span></span></li><li style="margin-bottom:13px;margin-left:8px;"><span style="font-size:10pt;"><span style="line-height:115%;"><span style="font-family:Arial, sans-serif;"><span style="line-height:115%;">Strong organizational skills and work ethic</span></span></span></span></li><li style="margin-bottom:13px;margin-left:8px;"><span style="font-size:10pt;"><span style="line-height:115%;"><span style="font-family:Arial, sans-serif;"><span style="line-height:115%;">Proficient in Windows, Excel, Word, and PowerPoint</span></span></span></span></li><li style="margin-bottom:11px;margin-left:8px;"><span style="font-size:10pt;"><span style="line-height:107%;"><span style="font-family:Arial, sans-serif;">Requires long periods of time sitting and using keyboard and mouse</span></span></span></li><li style="margin-bottom:11px;margin-left:8px;"><span style="font-size:10pt;"><span style="line-height:107%;"><span style="font-family:Arial, sans-serif;">Meet and maintain department production and quality standards</span></span></span></li></ul><br><span style="font-size:14.5pt;"><span style="font-family:'Times New Roman', serif;"><span style="color:#000000;"><b><span style="font-size:10pt;"><span style="font-family:Arial, sans-serif;">Certification Requirements:</span></span></b></span></span></span><ul style="margin-bottom:13px;"><li style="margin-bottom:13px;margin-left:8px;"><span style="font-size:10pt;"><span style="line-height:115%;"><span style="font-family:Arial, sans-serif;"><span style="line-height:115%;">CPC® </span></span></span></span></li><li style="margin-bottom:13px;margin-left:8px;"><span style="font-size:10pt;"><span style="line-height:115%;"><span style="font-family:Arial, sans-serif;"><span style="line-height:115%;">CPMA<sup>TM </sup>or RHIT </span></span></span></span></li></ul><ul style="margin-bottom:13px;"><li style="margin-bottom:13px;margin-left:8px;"><span style="font-size:14px;"><span style="font-family:Arial, Helvetica, sans-serif;"><b>AAPC Values:</b><br><br>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.<br><br>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.<br><br>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.<br><br>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.<br><br>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.</span></span></li></ul><span style="font-size:14px;"><span style="font-family:Arial, Helvetica, sans-serif;"><span style="line-height:115%;"><span style="line-height:115%;"> </span></span></span></span><p><span style="font-size:14px;"><span style="font-family:Arial, Helvetica, sans-serif;"><strong>What We Offer:</strong></span></span></p><p><span style="font-size:14px;"><span style="font-family:Arial, Helvetica, sans-serif;">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.</span></span></p><p><span style="font-size:14px;"><span style="font-family:Arial, Helvetica, sans-serif;"><em>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.</em></span></span></p><p>We are an Equal Opportunity Employer. This company does not and will not discriminate in employment and personnel practices on the basis of race, sex, age, disability, 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.</p>