Senior Manager - Coding Audit and Compliance

Job Description

Job Description

Description :

Panacea Healthcare Solutions, a leader in providing customized financial solutions to healthcare providers, is expanding its credentialed staff to perform coding audit, support, and review.

Panacea has a hybrid work environment and can support remote work.

We are seeking a skilled and experienced Auditor / Consultant with managerial experience to join our team. The ideal candidate will be responsible for assisting the Executive Director in overseeing and managing our audit team to ensure the accuracy, efficiency and compliance of all client engagements. This position requires a strong understanding of coding principles, healthcare regulations and industry best practices as well as exceptional leadership and communication skills.

Key Responsibilities

• Audit management : Plan, conduct, and oversee coding audits to assess the accuracy of coding and billing practices.
• Compliance oversight : Ensure compliance with all applicable coding guidelines, regulations, and internal policies (e.g., CMS guidelines, OIG regulations, and HIPAA).
• Team oversight : Provide day to day oversight of coding auditors, including assigning work, monitoring performance, and providing training and development opportunities.
• Education & Training : Develop and deliver coding education and training programs for coders, auditors, providers, and other relevant staff to address audit findings and promote best practices.
• Relationship Management : Build and maintain strong relationships with internal and external stakeholders, including revenue cycle teams, providers, clients, and regulatory bodies.
• Data Analysis & Reporting : Review and analyze audit data, identify trends, and generate reports for management and other stakeholders, communicating findings and recommendations effectively.
• Research & Consultation : Serve as a coding subject matter expert, conduct research on coding changes and issues, and provide guidance and recommendations to resolve complex coding-related problems.

Requirements :