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Health Business Solutions LLC
Manager, Government AuditHealth Business Solutions LLC • Town of Florida, NY, USA
Manager, Government Audit

Manager, Government Audit

Health Business Solutions LLC • Town of Florida, NY, USA
2 days ago
Job type
  • Full-time
Job description

Position Summary

HBiz is seeking an experienced and highly organized Manager of Audit to lead all audit-related operations across government, commercial, and post-payment audits. This fully remote role will report directly to the VP of Clinical Appeals and is responsible for overseeing end-to-end audit processes, ensuring regulatory compliance, and managing a team that includes offshore staff. The ideal candidate is a strong communicator, detail-oriented, and comfortable working flexible hours to support coordination across global teams and time zones.

Key Responsibilities

  • Audit Oversight & Lifecycle Management
    • Lead the management and response process for a variety of audits including RAC, MAC, CERT, PERM, TPE, and commercial payer audits.
    • Oversee case intake, documentation collection, quality review, and timely submission.
    • Track and analyze audit trends, denials, and appeal outcomes to identify risks and recommend improvements.
  • Reporting & Tracking
    • Maintain detailed audit logs and status reports using audit tracking systems.
    • Develop and deliver regular audit performance dashboards and summaries to leadership.
    • Identify audit trends and provide insights for proactive risk mitigation.
  • Team Management & Workflow Coordination
    • Supervise and support a team of audit staff, including managing offshore resources.
    • Assign and coordinate cases with clinical, coding, technical, and documentation teams.
    • Ensure efficient workflows and balanced workloads across team members.
    • Work flexible hours when needed to support offshore operations and tight deadlines.
  • Collaboration Across Departments
    • Act as the liaison between clinical, coding, HIM, compliance, and IT teams for audit support.
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Manager, Government Audit • Town of Florida, NY, USA

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