Healthcare Auditor

January 23

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Logo of CATHEXIS

CATHEXIS

Data Analytics • Enterprise Performance Improvement • Training and Training Support • Lean Six Sigma • Program Management

51 - 200 employees

🏛️ Government

Description

• Team CATHEXIS elevates the government contracting experience through rapid response, deep skill, and thoughtful problem-solving and communication based on customer requirements. • Our core capabilities are our top-tier program and project management, learning solutions, performance improvement and business process redesign, data analytics and visualization, and audit services – each delivered through an integrated approach to operational excellence focusing on customer defined value. • We are looking for a dynamic Healthcare Auditor to join our team! • The Healthcare Auditor will work to support the Department of Veterans Affairs - Financial Audit of Invoices and Billing Practices under VA’s Medical Disability Examination (MDEs) Contracts. • The person in this role will be successful by: being detail oriented, demonstrating the ability to work independently, maintaining connectivity and access to the VA network and required systems, maintaining access to the MDE Vendor portals, and completing objective evaluations of medical records and claims as it pertains to fraud, waste and abuse with minimal supervision. • In the first 90 days success means demonstrating the ability to conduct independent, standards-based invoice audits and document results in a detailed and accurate manner based on criteria with supervisory review. • Additionally, the healthcare auditor should demonstrate the ability to prepare assigned audit documentation and actively participate and contribute to audit team planning sessions and post-audit reviews. • The Auditor works independently and as part of an auditing team, supporting comprehensive audits of contractors’ electronic medical records, other documentation, and invoices. The audits are of vendors who provide Medical Disability Exams in support of the Department of Veteran Affairs

Requirements

• Bachelor's degree • 3 years of healthcare auditing experience including clinical, coding or experience with both • Experience auditing in accordance with professional standards and industry best practices required • Knowledge of government payor practices, guidelines and procedures; knowledge of CPT, ICD-9, ICD-10, and HCPCS coding required • Healthcare auditing, regulatory compliance or similar combination of education and experience will be considered • Excellent communication skills, both written and verbal and proficiency in MS Word, Excel and PowerPoint required • Demonstrated ability to work independently and as a team required • Comfortable managing multiple, variable tasks with limited supervision within targeted timelines and thriving in a demanding, quickly changing environment • Must be eligible to obtain a Veterans Affairs Public Trust Clearance (NACI background investigation)

Benefits

• Performance Bonuses • Medical Insurance • Dental Insurance • Vision Insurance • 401(k) Plan (Traditional and ROTH) • Life Insurance (Basic, Voluntary & AD&D) • Paid Time Off • 11 Federal Holidays • Parental Leave • Commuter Benefits • Short Term & Long Term Disability • Training & Development • Wellness Program • Community Outreach Initiatives

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🇺🇸 United States – Remote

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🔥 Funding within the last year

💰 Private Equity Round on 2024-07

⏰ Full Time

🟡 Mid-level

🟠 Senior

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🦅 H1B Visa Sponsor

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