Audit Specialist
Company Description
Privia Health™ is a national physician platform transforming the healthcare delivery experience. We provide tailored solutions for physicians and providers, creating value and securing their future. Through high-performance physician groups, accountable care organizations, and population health management programs, Privia works in partnership with health plans, health systems, and employers to better align reimbursements to quality and outcomes.
Job Description
Location: Remote
Under indirect supervision, the Audit Specialist audits medical charts and records for compliance with federal coding regulations and guidelines. Successful candidates will have experience with procedural auditing.
Primary Job Duties:
- Accurately audits provider documentation to ensure compliance with all regulatory guidelines.
- Meets and/or exceeds the short and long term personal and team goals as established.
- Responsible for professional growth and development via continuing education.
- Develops and maintains effective relationships with others to encourage and support the team.
- Performs other job-related duties as assigned.
Qualifications
- 5+ years of audit experience is preferred.
- Extensive knowledge of CPT, ICD-10, and HCPCS codes and guidelines.
- Certified Professional Coder (CPC) required and Certified Professional Medical Auditor (CPMA)
- Experience working with Audit Manager and Athena is a plus.
- Must comply with all HIPAA rules and regulations.
- Excellent communication skills and the ability to work independently.
The salary range for this role is $65,000 to $75,000 in base pay and exclusive of any bonuses or benefits. This role is also eligible for an annual bonus targeted at 10% based on performance in the roles. The base pay offered will be determined based on relevant factors such as experience, education, and geographic location.
Additional Information
All your information will be kept confidential according to EEO guidelines.
Technical Requirements (for remote workers only, not applicable for onsite/in office work):
In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed. This should be acquired prior to the start of your employment. The best measure of your internet speed is to use online speed tests like https://www.speedtest.net/. This gives you an update as to how fast data transfer is with your internet connection and if it meets the minimum speed requirements. Work with your internet provider if you have questions about your connection. Employees who regularly work from home offices are eligible for expense reimbursement to offset this cost.
Privia Health is committed to creating and fostering a work environment that allows and encourages you to bring your whole self to work. Privia is a better company when our people are a reflection of the communities that we serve. Our goal is to encourage people to pursue all opportunities regardless of their age, color, national origin, physical or mental (dis)ability, race, religion, gender, sex, gender identity and/or expression, marital status, veteran status, or any other characteristic protected by federal, state or local law.