Lead Compliance Auditor – Heavy Anesthesia & Healthcare Expertise Needed.
About the position
Responsibilities
• Lead complex anesthesia-specific compliance audits, including CPT, ICD-10, modifiers, and billing practices.
• Develop and deliver targeted training for clinical staff on anesthesia coding, documentation, and regulatory requirements.
• Identify risk areas through detailed data analysis, trend monitoring, and audit findings.
• Collaborate with leadership to refine audit strategies and implement process improvements.
• Prepare detailed reports, presentations, and corrective action plans to ensure ongoing compliance excellence.
• Support ongoing education initiatives to elevate staff awareness and adherence to federal, state, and industry regulations.
Requirements
• Minimum of 10+ years of healthcare compliance auditing experience with a heavy focus on anesthesia.
• Deep knowledge of anesthesia coding, billing, and documentation standards, including CPT, ICD-10, HCPCS, and modifier usage.
• Proven success in leading complex audits, developing training materials, and mentoring teams.
• Strong analytical skills with the ability to interpret data and identify trends.
• Exceptional communication skills for engaging with senior leadership and clinical staff.
• Experience working with regulatory bodies and understanding of HIPAA, Medicare, Medicaid, and third-party payers.
• Experience leading impactful compliance initiatives in a reputable healthcare organization.
• Expertise in Collaborating with team members dedicated to excellence for continuous improvement.
• Shape compliance strategies and influence organizational policies.
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