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Senior Associate
Berkeley Research Group (BRG). Join the Healthcare Transactions and Strategy (HTS) group .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in healthcare compliance auditing, coding accuracy, and regulatory analysis, with a strong ability to develop methodologies and communicate findings effectively. Proficient in utilizing Microsoft Office Suite for data analysis and reporting within a healthcare consulting environment.
Highest-signal resume keywords
Healthcare Compliance AuditingMedical Coding CertificationData AnalyticsMicrosoft Office Suite ProficiencyCoding and Documentation Guidelines Interpretation
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medical Record AuditsCoding AccuracyCompliance AuditingData AnalysisAudit Methodology DevelopmentBilling and Coding AuditsQuality ControlTrend AnalysisReport DevelopmentHealthcare Policy Knowledge
Soft Skills
Attention to DetailTime ManagementOrganizational SkillsVerbal CommunicationWritten Communication
Tools & Technologies
Microsoft ExcelMicrosoft PowerPointMicrosoft AccessMicrosoft Word
Certifications & Qualifications
Medical Auditing Certification
Industry Keywords
Healthcare TransactionsReimbursementComplianceHealthcare ConsultingPhysician Practice CodingASC CodingPost-Acute CodingHealth-Plan Provider Auditing
About the role
Key responsibilities & impact- Join the Healthcare Transactions and Strategy (HTS) group
- Perform regulatory, reimbursement, data analytics, and compliance auditing for healthcare providers, payers, and investors
- Plan and perform medical record audits to determine coding accuracy and compliant claims submission
- Develop coding and documentation audit methodology
- Review medical records and charges for coding and documentation compliance
- Analyze audit findings to identify trends and problems
- Communicate audit findings and recommended areas for improvement
- Monitor compliance resources, publications, and government compliance and enforcement activity
- Stay current on coding guidelines
- Develop analyses using transactional and/or financial data
- Generate client deliverables and contribute to expert reports
- Execute qualitative or quantitative engagement work streams
- Perform billing and coding audits, compliance program reviews, quality control, industry research, and client deliverable development
- Use relevant software tools and analytical methods to develop solutions
- Prioritize assignments and responsibilities to meet goals and deadlines
Requirements
What you’ll need- 4-year degree (BS or BA)
- Passion for healthcare and desire to obtain a medical coding certificate
- 1–2 years of work experience in a professional setting, ideally in healthcare consulting
- Ability to interpret national coding and documentation guidelines and translate them into auditing practices and tools
- Ability to identify coding and documentation issues and recommend corrective action
- Ability to develop reports and track and trend audit findings and results
- Proficiency in Microsoft Office Suite, specifically Excel, PowerPoint, Access, and Word
- Desire to expand Microsoft Office capabilities and ability to train others to use these tools
- High-quality analysis and attention to detail
- Excellent time management and organizational skills
- 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
- Candidate must be able to submit verification of legal right to work in the U.S. without company sponsorship now or in the future
- Medical auditing certification is preferred
- Experience with physician practice coding, ASC coding, and/or post-acute coding is preferred
- Prior consulting-firm auditing or transactional-diligence audit experience is preferred
- Health-plan provider auditing and review experience is preferred
Benefits
Comp & perks- Employer-funded, comprehensive training for AAPC (CPC, CPMA) or AHIMA (CCC-P, AOC) certification
- Certification costs fully funded
- Equal opportunity employment
- Reasonable accommodation for essential job functions