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Senior Compliance Auditor
US Anesthesia Partners. Lead and conduct continuous audits on scheduled, as-needed, or requested bases, focusing on anesthesia documentation, billing, and coding compliance.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in anesthesia coding, compliance auditing, and documentation accuracy, with a strong focus on regulatory adherence and effective communication. Proven ability to lead training initiatives and mentor junior auditors while managing audit processes and reporting.
Highest-signal resume keywords
Anesthesia Coding ExperienceCertified Professional Coder (CPC)Expert Knowledge of CPT, ASA, and ICD-10 CodingAuditing Methodologies and Compliance FrameworksStrong Written and Verbal Communication Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
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Hard Skills
Anesthesia CodingAuditing ExperienceDocumentation ComplianceData AnalysisReport WritingCritical ThinkingProblem-SolvingAction Plan DevelopmentCharge Accuracy AssessmentRegulatory Knowledge
Soft Skills
Time ManagementOrganizational SkillsMentoringCollaborationAttention to Detail
Tools & Technologies
Word-Processing ProgramsSpreadsheet ProgramsDatabase Programs
Certifications & Qualifications
Certified Professional Coder (CPC)Certified Coding Specialist (CCS)Certified Anesthesia and Pain Management Coder (CANPC)Certified Professional Medical Auditor (CPMA)Certified Healthcare Auditor (CHA)
Industry Keywords
CPT CodingASA CodingICD-10 CodingManaged Care BillingMedicare BillingMedicaid BillingWorkers’ Compensation BillingCompliance LeadershipAudit PlanningHealthcare Provider Training
About the role
Key responsibilities & impact- Lead and conduct continuous audits on scheduled, as-needed, or requested bases, focusing on anesthesia documentation, billing, and coding compliance.
- Evaluate clinical documentation for compliance with coding, documentation, and billing laws, regulations, and guidelines.
- Contribute to audit planning, identify potential risk areas, and communicate results to compliance leadership.
- Review medical records to assess documentation, coding, and charge accuracy and identify variances.
- Analyze, prepare, and present audit reports.
- Develop and deliver targeted communications, training sessions, and educational programs for healthcare providers.
- Communicate documentation, coding, and charge errors and trends to compliance leadership.
- Support corrective action plans and coordinate remediation of audit findings and emerging risks.
- Onboard and train new compliance auditors; mentor junior auditors and provide subject-matter expertise.
- Prepare for external audits, coordinate information requests, and track deliverables.
- Manage audit schedules and maintain accurate audit activity records.
- Provide guidance on documentation, coding, claim review, and billing questions; monitor relevant laws, regulations, payer bulletins, periodicals, and websites.
- Define audits, develop action plans, document findings, draft reports, and communicate results to compliance leadership and/or the Compliance Committee.
- Participate in educational programs, training sessions, meetings, and special projects.
- Maintain strict confidentiality of patient records and audit reports.
- Perform other duties as assigned or requested.
Requirements
What you’ll need- High school diploma or equivalent is required; associate or bachelor’s degree in a related field is preferred.
- 7+ years of anesthesia coding experience or an equivalent combination of education and coding experience.
- Previous auditing experience required.
- Certification in medical coding (Certified Professional Coder or Certified Coding Specialist) required.
- Advanced certification as a Certified Anesthesia and Pain Management Coder (CANPC) preferred.
- Certified Professional Medical Auditor (CPMA) or Certified Healthcare Auditor (CHA) preferred.
- Expert knowledge of CPT, ASA, and ICD-10 coding.
- Knowledge of managed care, Medicare, Medicaid, and workers’ compensation billing and coding rules, regulations, and guidance applicable to anesthesia.
- Expert understanding of auditing methodologies and compliance frameworks.
- Strong written and verbal communication skills, including high-level report writing.
- Exceptional critical thinking, problem-solving, and data analysis skills.
- Advanced research skills.
- Strong time management, prioritization, and organizational skills.
- Ability to independently investigate, analyze, and resolve complex or non-routine issues.
- Proven ability to lead projects, mentor staff, collaborate with diverse departments, and communicate effectively with staff, providers, leadership, and stakeholders.
- Working knowledge of computers and word-processing, spreadsheet, and database programs.
- High attention to detail and accuracy.
- Professional demeanor and ability to work effectively in cross-functional environments.