Position: Healthcare Compliance- Associate Director
About: Our healthcare practice provides accounting, economic, and operational advice to a variety of clients including providers and payers of healthcare services. We perform regulatory, reimbursement, data analytics, and compliance auditing for healthcare providers, payers, and investors. Compliance audit deliverables include the assessment of provider compliance programs and auditing of billing and coding of clinical documents and claims documents.
Requirements: Bachelor’s degree with a focus in quantitative analytics (accounting, finance, economics, mathematics, data science, statistics, health economics, biostatistics, health informatics, information systems, public health) or related field; minimum of ten (10+) years of work experience with a focus on healthcare provider billing, coding, and compliance; active coding certification from either AAPC or AHIMA is required; comprehensive knowledge of Medicare rules, regulations, and guidelines as they apply to coverage, coding, and provider documentation; advanced knowledge of CPT-4, HCPCS, and ICD-10-CM coding systems, guidelines, and regulatory requirements; 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); demonstrated ability to interpret national coding and documentation guidelines and translate them into effective auditing practices and tools; identify issues in coding and documentation practices and recommend corrective action; develop reports, track, and trend audit findings and results; commitment to producing high-quality analysis and attention to detail; excellent time management, organizational skills, and ability to prioritize work and meet deadlines; exceptional verbal and written communication skills; desire to work collaboratively within an office team environment.
Benefits: Regular – Full Time, LI-HYBRID
