Note: The job is a remote job and is open to candidates in USA. BRG Concepts is a consulting firm specializing in healthcare compliance and strategy. They are seeking a Senior Associate - Healthcare Compliance Analyst to support compliance audits, manage document intake, and assist in the development of client deliverables, with a strong focus on government programs like Medicare and Medicaid.

Responsibilities

• Support medical record audits to determine coding accuracy and compliant claims submission with research and document management
• Assist with coding and documentation audit methodology including writing PowerPoint slides and compiling Excel spreadsheets under the direction of more senior auditors
• Conduct analysis of audit findings to identify trends/problems in coding and documentation and effectively communicates the audit findings and recommended areas for improvement
• Monitor relevant resources, publications, and current government compliance and enforcement activity related to high-risk compliance areas
• Actively pursue and obtain coding certifications (e.g. CPC) in order to advance to higher job positions as an auditor preforming full audit duties
• Develop analyses using transactional data and/or financial data
• Generate client deliverables and make valuable contributions to expert reports
• Demonstrate creativity and efficient use of relevant software tools and analytical methods to develop solutions
• Participate in group practice meetings, contribute to business development initiatives and office functions such as staff training and recruiting
• Prioritize assignments and responsibilities to meet goals and deadlines

Skills

• 4-year undergraduate degree (e.g., BS, BA)
• 0 to 2 years of work experience with a demonstrated interest in healthcare industry and healthcare provider billing and coding compliance
• Ability to research national coding and documentation guidelines; knowledge of healthcare sector and healthcare payment systems, and to develop reports, track, and trend audit findings and results
• Proficient user in Microsoft Office Suite, specifically Excel, PowerPoint, Access, and Word. A desire to expand those capabilities is required, as is the ability to train others to use such tools
• Commitment to producing high quality analysis and attention to detail
• Excellent time management, organizational skills, and ability to prioritize work and meet deadlines
• Keen interest in healthcare compliance and healthcare policy
• Exceptional verbal and written communication skills
• Desire to work within a team environment
• Candidate must be able to submit verification of their legal right to work in the U.S., without company sponsorship
• Preference will be given to candidates that are certified in medical auditing
• Preference will be given to candidates with undergraduate academic studies that demonstrate an interest in healthcare sector and healthcare administration and management
• Work experience related to healthcare coding, billing and compliance or healthcare administration and management further enhances an applicant

Benefits

• Job title and compensation to be determined based on qualifications and experience.
• Candidate will be expected to obtain coding certifications (e.g. CPC) while employed.
• Job duties will include certified coder certification course within the first 18 months of employment with tuition paid by BRG.

Company Overview