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
With the launch of our flagship restaurant Brimstone Woodfire Grill in 2006, Brimstone Restaurant Group (BRG) has developed, operated, and managed groundbreaking hospitality and culinary experiences in South Florida and beyond. It was founded in 2006, and is headquartered in Pompano Beach, US, with a workforce of 51-200 employees. Its website is http://www.brimstonerestaurantgroup.com.