Auditor

• Supervise and manage daily activities of surgery coding and audit teams, including in-house and contract auditors
• Allocate workload, monitor performance, and ensure timely completion of tasks
• Conduct team meetings and communicate updates, performance results, challenges, and process changes
• Ensure coding audits meet accuracy, quality, and productivity benchmarks
• Review audit results, identify recurring issues, and implement corrective actions
• Collaborate with Quality Assurance and Training teams on coaching and retraining
• Monitor workflows and recommend process improvements
• Support best practices in surgical coding operations
• Ensure coordination between coding, auditing, and training functions
• Ensure adherence to HIPAA, OIG, and other compliance regulations
• Track performance metrics and prepare reports for senior management
• Address audit discrepancies, process deviations, and non-compliance issues
• Coordinate with audit teams, management, and clients
• Participate in client calls and internal reviews
• Support audit planning and resource allocation
• Lead training sessions on current coding audits for multiple specialties
• Develop curriculum, training handbooks, presentations, process manuals, and training materials
• Perform quality assurance reviews and random chart audits
• Organize coding-audit meetings and respond to coding questions
• Research updated coding information and coding issues
• Conduct coding reviews and training programs to assure coding quality
• Ensure billed services are accurately coded
• Analyze benchmarking profiles and provide coding and payer updates

Assistant Manager – Coding Auditor

• Support modernization of the SOX program, including control frameworks and management testing methodologies
• Execute, oversee, and monitor SOX management testing across IT system and business process controls
• Identify control deficiencies and recommend actionable remediation strategies
• Liaise with external auditors, business partners, and stakeholders on risk mitigation and efficiency initiatives
• Support and lead internal audit engagements across business areas and risk domains
• Lead fraud investigations, including planning, fieldwork, interviews, and reporting
• Prepare audit reports and investigation findings for senior leadership
• Collaborate with international teams and cross-functional partners
• Implement emerging technologies and AI tools, including Thomson Reuters products
• Lead automation and data analytics to detect anomalies and simplify control testing
• Contribute to Internal Audit transformation initiatives
• Foster understanding of internal controls and SOX requirements
• Monitor emerging risks, fraud trends, audit methods, and regulatory changes

Senior Internal Auditor

• Performs clinical validation audits and interpretation of medical documentation to ensure capture of all relevant coding
• Follows every aspect of SOP without fail
• Completes received audits with quality
• Achieves quality and production targets
• Follows project-related protocols and instructions
• Escalates issues and identifies trends
• Updates productivity, clarification, and other applicable logs daily
• Checks with Manager/TL regarding clarifications
• Answers all emails from Manager promptly
• Ensures team compliance with HIPAA and OIG requirements

Senior Coding Auditor

• Assist in planning and executing operational, financial, compliance, and SOX audits according to the annual audit plan
• Perform process walkthroughs to understand business activities, identify key risks, and document internal control environments
• Execute key-control testing and substantive audit procedures to evaluate design and operating effectiveness
• Prepare audit workpapers documenting procedures, evidence, and conclusions
• Analyze process and transactional data to identify trends, anomalies, control gaps, and improvement opportunities
• Support development of audit observations and practical recommendations
• Partner with business stakeholders to obtain information, discuss audit results, and resolve identified issues
• Track management action plans and validate remediation efforts
• Support SOX compliance activities, including risk assessments, walkthroughs, control testing, deficiency evaluation, and documentation
• Participate in special projects, investigations, advisory engagements, and risk-focused reviews
• Enhance audit methodologies, templates, and tools
• Monitor emerging risks, industry practices, regulatory requirements, and internal audit standards

Internal Auditor, Finance

• Participate as a key team member on audit projects, independently owning audit tasks such as documenting processes under review, developing workpapers, and executing audit tests
• Assist Senior Managers / Managers throughout the audit lifecycle in line with Internal Audit procedures, internal policies, standards, and regulatory expectations
• Maintain audit proficiency through ongoing professional development, including data analytics literacy, technology, and banking best practices
• Review prior audit results and business monitoring materials to support audit planning
• Participate in walkthroughs using thoughtful questions, effective challenge, and critical thinking
• Execute process, governance, and oversight testing; document results to evaluate control design and effectiveness
• Draft workpapers and audit issue documentation using automated workpapers and department/company tools
• Identify and escalate issues during testing and audit execution
• Develop understanding of American Express' business model, products, services, and organizational units
• Document and evaluate audit observations and findings; support client status meetings, audit requests, and administrative tasks
• Execute validation of corrective actions / Management Action Plans (MAPs)
• Communicate task status, roadblocks, challenges, and potential solutions to managers and leadership
• Work proactively and take initiative on next steps
• Provide guidance and feedback to staff auditors
• Draft test steps, audit findings, and audit report materials as needed with guidance

Senior Auditor, FinCrime

• Serve in a client-facing role focused primarily on audit projects
• Plan and conduct audit fieldwork
• Assist with report clearance
• Identify significant potential issues related to control design and effectiveness
• Create reliable audit documentation
• Manage multiple auditee relationships
• Understand client business and related industry issues and trends
• Develop and maintain strong relationships with clients and onshore client teams
• Develop and execute internal audit plans and programs
• Define audit scope and objectives through process walkthroughs and key-control identification
• Conduct audits of financial, operational, and IT processes
• Discuss audit exceptions with management and stakeholders
• Evaluate internal controls and risk management systems
• Identify control weaknesses and recommend improvements
• Ensure compliance with internal policies, procedures, and regulatory requirements
• Prepare findings and actionable recommendations
• Follow up on recommendation implementation and validate remediation
• Participate in cross-functional special projects
• Support knowledge management within the Professional Services Organization
• Mentor and coach junior team members
• Ensure compliance with firm risk management strategies, plans, and activities
• Meet quality guidelines within established turnaround times or budgets
• Manage workload without compromising standards

Senior Financial Auditor – Risk Consulting, Process and Controls

• Review and audit medical claims against patient medical records for accurate and complete documentation
• Identify discrepancies between clinical documentation and billed services, including potential billing errors
• Conduct clinical reviews to validate diagnoses, procedures, and level of care against industry standards
• Ensure compliance with CMS guidelines, payer policies, and regulatory requirements
• Perform best-practice audits to identify documentation gaps, coding inaccuracies, and revenue leakage opportunities
• Prepare structured audit reports with recommendations for corrective action and process improvement
• Collaborate with coding, billing, and provider teams to resolve audit findings and support accurate claim submissions
• Monitor audit trends and recurring issues requiring education or intervention
• Support quality assurance initiatives and meet audit accuracy and productivity standards
• Review medical records using clinical knowledge and make clear, precise determinations
• Perform quality assurance reviews and complete audits accurately
• Maintain productivity, clarification, and other applicable logs
• Follow SOPs, project protocols, process updates, and manager/team-lead alignment
• Respond promptly to emails and maintain a professional work environment

Senior Clinical Auditor

• Review and audit medical claims against patient medical records to ensure accuracy and completeness of documentation
• Identify discrepancies between clinical documentation and billed services, highlighting variances and potential billing errors
• Perform detailed clinical reviews to validate diagnosis, procedures, and level of care in accordance with industry standards
• Ensure compliance with CMS guidelines, payer policies, and regulatory requirements during claim review processes
• Conduct best practice audits to identify documentation gaps, coding inaccuracies, and revenue leakage opportunities
• Provide structured findings and audit reports with clear recommendations for corrective action and process improvement
• Collaborate with coding, billing, and provider teams to resolve audit findings and support accurate claim submissions
• Monitor trends in audit results and identify recurring issues requiring targeted education or intervention
• Support quality assurance initiatives by maintaining audit accuracy benchmarks and meeting productivity standards
• Participate in continuous improvement activities, including updates on CMS regulations, clinical guidelines, and payer policy changes
• Perform audit based on clinical knowledge while reviewing the medical record
• Perform quality assurance reviews to assess comprehension of training efforts
• Ensure to view all documented system information and additional records/data supporting a determination or recommendation
• Condense clinical information into a clear and precise clinical picture while taking a final decision
• Analyze errors and approach the quality team for clarification when required
• Complete audits with quality and achieve expected quality and production targets
• Follow project-related protocols, SOPs, and instructions
• Update productivity, clarification, and other applicable logs daily
• Align with Manager/TL on program delivery
• Respond to emails promptly
• Ensure compliance of the entire team

• Follow every aspect of SOP without fail
• Complete received audits with quality
• Achieve quality and production targets
• Follow project-related protocols and instructions
• Escalate issues and identify trends
• Update productivity, clarification, and other applicable logs daily
• Check with Manager/TL in case of clarifications
• Answer all Manager emails promptly
• Apply problem-solving skills
• Ensure entire team compliance with HIPAA and OIG
• Perform multi-specialty outpatient surgery coding, including IVR and General Surgery
• Conduct coding audits

• Perform CPT coding for E&M cases in ED Facility and IP EM
• Meet or exceed productivity standards according to productivity norms
• Focus on continuous improvement
• Update coding skills, knowledge, and accuracy through coding team meetings and educational conferences
• Apply knowledge of ED Facility and IP EM coding
• Use analytical and anatomical knowledge in coding auditing activities