Associate - Healthcare Compliance Auditor; Healthcare Transaction Strategy

Job Overview

Position Title:

Associate – Healthcare Compliance Auditor (Healthcare Transaction Strategy)

Location:

Remote – USA (Washington, DC)

Employment Type:

Full Time

Requisition

The Associate level Healthcare Compliance Auditor works within the Healthcare Transactions and Strategy (HTS) group. The role focuses on regulatory, reimbursement, data analytics, and compliance auditing for healthcare providers, payers, and investors. The primary responsibility is to audit coding and documentation of clinical and billing records in government programs such as Medicare and Medicaid.

• Support client engagements and discrete segments of larger projects
• Research healthcare program requirements and payer guidelines
• Develop coding and documentation audit methodology using key risk areas
• Perform coding and documentation audits, reviewing medical records and charges to ensure compliance with CPT‑4/HCPCS and ICD‑10‑CM coding guidelines and CMS coverage guidelines
• Conduct analysis of audit findings to identify trends and problems in coding and documentation and communicate findings and recommended improvement areas to senior members
• Monitor relevant resources, publications, and current government compliance and enforcement activity related to high‑risk compliance areas
• Stay current on coding guidelines
• Develop analyses using transactional data and/or financial data
• Make valuable contributions to client deliverables
• Demonstrate creativity and efficient use of relevant software tools and analytical methods to develop solutions
• Participate in group practice meetings
• Prioritize assignments and responsibilities to meet goals and deadlines

• Undergraduate degree in a healthcare‑related major (Public Health, Healthcare Administration, etc.)
• Active coding certification or willingness to obtain a coding certification from AAPC or AHIMA within 6 months of hire
• 0‑2 years of work experience demonstrating a strong interest in the healthcare industry; internships, fellowships, or work experience in a hospital or healthcare system preferred; candidates with more than 3 years of experience will not be considered
• Preference given to candidates with knowledge of Medicare rules, regulations, and guidelines as they apply to coverage, coding, and provider documentation
• Knowledge of CPT‑4, HCPCS, and ICD‑10‑CM coding systems, guidelines, and regulatory requirements preferred
• Proficient in Microsoft Office Suite (Excel, PowerPoint, Access, Word) with a desire to expand capabilities
• Strong attention to detail
• Excellent time management, organizational skills, and ability to prioritize work and meet deadlines
• Keen interest in healthcare compliance and healthcare policy
• Exceptional verbal and written communication skills
• Desire to work within a team environment

Associate Salary Range: $70,000 – $100,000 per year

BRG is an Equal Employment Opportunity/Affirmative Action Employer. All qualified candidates will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability, or protected veteran status. BRG is proud to be an Equal Opportunity Employer. Our hiring practices provide equal opportunity for employment without regard to race, religion, color, sex, gender, national origin, age, United States military veteran status, ancestry, sexual orientation, marital status, family structure, medical condition including genetic characteristics or information, veteran status, or mental or physical disability so long as the essential functions of the job can be performed with or without reasonable accommodation, or any other protected category under federal, state, or local law.