Coding & Compliance Eye Auditor

At VMG Health, we’re more than just a team of experts; we’re trusted partners in the business of healthcare. Backed by a team of over 300 professionals and a history of more than 70,000 engagements since 1995, we bring experience, deep and wide, to every project. Our national client base ranges from large health systems to small practices and everything in between, including investors and private equity firms.

Our solutions-oriented approach to client needs is bolstered by our strong market position, extensive contacts, unparalleled tools and solutions, and expert insights. We are proud to serve as the single source for all our clients’ valuation, strategic, and compliance needs.?

At VMG Health, we’re more than just a team of experts; we’re trusted partners in the business of healthcare. Backed by a team of over 300 professionals and a history of more than 70,000 engagements since 1995, we bring experience, deep and wide, to every project. Our national client base ranges from large health systems to small practices and everything in between, including investors and private equity firms.

Our solutions-oriented approach to client needs is bolstered by our strong market position, extensive contacts, unparalleled tools and solutions, and expert insights. We are proud to serve as the single source for all our clients’ valuation, strategic, and compliance needs.?

VMG Health is seeking an experienced Ophthalmic Compliance Auditor to join its Coding Audit and Compliance (CAC) team. The Ophthalmic Compliance Auditor will provide auditing, compliance, education, and consulting services to a broad range of healthcare clients, including single-specialty and multispecialty physician practices, hospitals, health systems, academic medical centers, law firms, and private equity organizations. Responsibilities include conducting documentation and coding reviews, regulatory research, and provider education.

This role requires strong analytical and critical-thinking skills, deep knowledge of healthcare regulatory requirements, and the ability to effectively communicate audit findings to providers, operational leaders, attorneys, and executive stakeholders.

The Ophthalmic Compliance Auditor will serve as a trusted resource to clients and internal team members, providing subject matter expertise in coding and documentation. Responsibilities include conducting documentation audits, delivering provider education, supporting due diligence and compliance engagements.

• Work as part of an audit team to professionally and successfully complete client projects, meeting productivity and quality standards within established deadlines.
• Access necessary medical record documentation from client EMR/PM systems.
• Complete detailed analysis of medical records for chart content and documentation requirements.
• Utilize audit reporting tools to document audit results and prepare reports for quality assurance review and client delivery.
• Interpret and apply CMS, AMA, OIG, NCCI, and other payer guidance to audit findings and compliance recommendations.
• Identify documentation, coding, billing, and risk trends and communicate findings to clients and internal leadership.
• Prepare and present audit results, executive summaries, and compliance recommendations to providers, administrators, and senior leadership.
• Develop reports of audit findings and corrective action plans based on identified issues.
• Conduct education and training sessions for internal team members and clients as directed.
• Educate and serve as a resource for providers regarding documentation and compliance matters.
• Participate in quality assurance reviews and peer review activities to ensure consistency and accuracy…