Professional Fee Coding & Compliance Auditor

About the position The Professional Fee Coding Auditor will help support management, senior auditor/educators and other associate consultants with client engagements, communicate with clients for both private and public entities in the healthcare industry. tThese entities may be hospitals and health systems, physician groups, law firms, ambulatory surgical centers, ancillary clinics, dialysis centers/companies, publicly traded companies, etc. tThis position will work closely with several team members and staff of affiliated companies of Pinnacle Healthcare Consulting for the financial health and growth of overall business. tThe position will offer an opportunity for personal and professional growth to motivate the candidate. This position requires education and training, strong organizational skills, ability to prioritize and handle multiple projects to meet ongoing deadlines. tA commitment to stay on the cutting edge of health care regulations, along with best practices in compliance and audit/chart review is also required. Responsibilities • Perform and assist with health care related projects involving compliance, audit, litigation support, independent review, and corporate integrity agreements. • Analysis of health care data, including, but not limited to, enterprise financial statements, patient medical records, physician performance, industry structure and trends, economic factors impacting industry, impact of health care regulations, etc. • Prepare working papers to support results of procedures. • Conduct interviews with client management to gain an understanding of client business conditions, risks, and controls (including preparation of interview notes). • Thorough and accurate documentation of all work. • Assist in coordinating and communicating the results of consulting and internal audit projects via written reports and oral presentations to clients. • Provides input to the project team during all phases of the project. • Participate in the drafting of reports and presenting draft to the senior consultant, senior audit/educators and/or manager for review and approval. • Review of all work for analytical validity, accuracy of assumptions and data and professional appearance. • Demonstrate teamwork and accountability with project team members. • Stay abreast of current regulatory, business, and economic developments relevant to Company and client business; and use current technology and tools to enhance the effectiveness of services provided. • Ensures PERCS’ high expectations for quality in all assigned projects and deliverables under their control. • Ability to travel as needed for client project work and business meetings. • Assist Senior Audit/educators with training of staff and clients. • Perform related projects/work as assigned. Requirements • College degree or commensurate experience. • Certification in at least one area of healthcare business is required. • Experience in health care administrative duties and coding review and reimbursement calculations. tExperience in consulting preferred. • Ability to prioritize and manage concurrent projects, demonstrate initiative, communicate, and perform work utilizing electronic communication and work independently with moderate supervision. • Excellent communication, interpersonal, and teaming skills. • Computer proficiency including MS Excel, Word, and PowerPoint. • Minimum three (3) years of health care industry experience in a healthcare consulting company and/or provider organization required. • Three (3) or more years of experience delivering risk management, internal controls, and/or audit services or position in a healthcare organization. • Knowledge of healthcare technology solutions, such as Electronic Medical Record, Enterprise Resource Management, or Patient Financial Services systems. • Knowledge of healthcare regulatory requirements. • Ability to write business marketing materials or other professional deliverables. • Exceptional communication, interpersonal, and teaming skills. • Excellent written and verbal communication including report presentation. • Competent use of Microsoft Office (365), including Word, PowerPoint, Excel, Teams and One Drive. • Successfully participate in multiple and rapidly changing projects effectively. • Handle confidential information with discretion and adapt to competing demands. • Think strategically, solve problems, and propose solutions. • Work under tight deadlines and manage multiple priorities. • Achieve high performance goals and meet deadlines in a fast-paced environment. Apply tot his job Apply To this Job