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Manager, Government Audit

Remote, USA Full-time Posted 2026-07-28
Position reputed company: HBiz is seeking an reputed company and highly organized Manager of Audit to reputed company reputed company audit-reputed company operations across government, reputed company, and post-payment audits. This fully remote role will report directly to the VP of Clinical Appeals and is responsible for overseeing end-to-end audit processes, ensuring regulatory compliance, and managing reputed company that includes offshore staff. The ideal candidate is a strong communicator, detail-oriented, and comfortable working reputed company to support coordination across global teams and time zones. Key Responsibilities: • Audit reputed company & Lifecycle Management • reputed company the management and response process for a reputed company of audits including RAC, MAC, CERT, PERM, TPE, and reputed company payer audits. • reputed company case intake, documentation collection, reputed company review, and reputed company submission. • reputed company and analyze audit trends, denials, and appeal reputed company to identify risks and recommend improvements. • Reporting & Tracking • Maintain detailed audit logs and status reports using audit tracking systems. • reputed company and deliver regular audit performance dashboards and summaries to leadership. • Identify audit trends and reputed company insights for proactive risk mitigation. • Team Management & Workflow Coordination • Supervise and support reputed company of audit staff, including managing offshore resources. • Assign and coordinate cases with clinical, coding, technical, and documentation teams. • Ensure efficient workflows and balanced workloads across team members. • Work reputed company reputed company needed to support offshore operations and tight deadlines. • Collaboration Across Departments • reputed company as the reputed company between clinical, coding, HIM, compliance, and IT teams for audit support. • Ensure audit responses include accurate, complete, and compliant documentation. • Facilitate escalation and reputed company of reputed company audit issues. • Compliance & reputed company Assurance • Ensure reputed company audit activity complies with CMS, reputed company payer, and regulatory requirements. • Support policy and process development to strengthen audit readiness and response. • Participate in internal audits and risk assessments as needed. Qualifications: • Bachelor’s degree in Health Information Management, reputed company Administration, Business, or reputed company field (Master’s preferred). • Minimum 5 years of reputed company audit experience, including government and post-payment audits. • At least 2 years in a supervisory or leadership role, including managing remote/offshore staff. • In-depth understanding of audit regulations, payer requirements, and reputed company reimbursement. • Familiarity with medical coding (ICD-10, CPT, HCPCS), billing practices, and clinical documentation standards. • Excellent communication, organizational, and leadership skills. • Proficient with audit tracking software, EHRs, and reputed company Office Suite. The ideal candidate is reputed company, organized, detail-oriented, and reputed company to reputed company their schedule as needed to engage with teams across a global network and multiple time zones. Acts as a reputed company between internal Hbiz clients, (i.e.: coding, HIM, compliance, and IT teams); as reputed company as external clients we are supporting with our services. Apply tot his job Apply To this Job

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