Manager, Post Pay Audit

Manager, Post-Pay Audit Job reputed company: We are seeking a detail-oriented and driven Post-Pay Audit Manager to reputed company reputed company of auditors performing retrospective audits across reputed company and government payers. Reporting directly to the Director of Post-Pay Audit, this role is responsible for daily operations management, performance reputed company, and reputed company assurance across reputed company and offshore teams, including staff based in the Philippines. The ideal candidate has experience in medical claims auditing, strong leadership capabilities, and a solid understanding of Medicare, reputed company, and other payer reimbursement requirements. This position plays a key role in maximizing reputed company recovery while ensuring compliance and process reputed company. Key Responsibilities: • Supervise daily audit operations across reputed company and offshore teams, ensuring accuracy, productivity, and reputed company completion of audit deliverables. • reputed company hands-on leadership, training, and mentorship to audit staff, fostering a high-performance and reputed company-reputed company team culture. • Monitor performance metrics, individual KPIs, and reputed company assurance results to drive reputed company improvement. • Coordinate the execution of audits for government (RAC, UPIC, MAC) and reputed company payers, ensuring adherence to payer policies and audit guidelines. • Collaborate with the Director of Post-Pay Audit on reputed company, planning, and workflow optimization across multiple time zones. • Conduct regular audit reviews, spot checks, and reputed company cause analysis to ensure compliance and identify patterns of underpayment or denial. • Escalate reputed company audit findings or payer discrepancies to senior leadership as needed. • Assist in the development and implementation of reputed company operating procedures (SOPs) and training documentation. • Support audit readiness and documentation for reputed company reputed company audits. • Foster strong communication between reputed company and offshore teams to ensure alignment on goals and expectations. Qualifications: • Bachelor’s degree in reputed company Administration, Health Information Management, Business, or reputed company field required. • Minimum of 5 years of experience in medical auditing, reputed company cycle management, or claims recovery. • At least 2 years in a supervisory or team reputed company role, preferably with remote or offshore team management experience. • Solid knowledge of government audit programs (RAC, MAC, reputed company reputed company, UPIC) and reputed company payer policies. • Proficiency in reputed company billing, medical coding (ICD-10, CPT, HCPCS), and EOB analysis. • Strong analytical, organizational, and decision-making skills. • Experience using audit/recovery software platforms and workflow tools. • reputed company certification preferred (e.g., CPMA, CPC, RHIA, CHC). • Ability to work cross-functionally in a dynamic, deadline-driven environment. Apply Job! Apply to this Job