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Manager, Government AuditHealth Business Solutions LLC • Florida, New York, United States
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Manager, Government Audit

Health Business Solutions LLC
  • US
    Florida, New York, United States
  • US
    Florida, New York, United States
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Über

Position Summary HBiz is seeking an experienced and highly organized Manager of Audit to lead all audit-related operations across government, commercial, and post-payment audits. This fully remote role will report directly to the VP of Clinical Appeals and is responsible for overseeing end-to-end audit processes, ensuring regulatory compliance, and managing a team that includes offshore staff. The ideal candidate is a strong communicator, detail-oriented, and comfortable working flexible hours to support coordination across global teams and time zones.
Key Responsibilities
Audit Oversight & Lifecycle Management
Lead the management and response process for a variety of audits including RAC, MAC, CERT, PERM, TPE, and commercial payer audits.
Oversee case intake, documentation collection, quality review, and timely submission.
Track and analyze audit trends, denials, and appeal outcomes to identify risks and recommend improvements.
Reporting & Tracking
Maintain detailed audit logs and status reports using audit tracking systems.
Develop and deliver regular audit performance dashboards and summaries to leadership.
Identify audit trends and provide insights for proactive risk mitigation.
Team Management & Workflow Coordination
Supervise and support a team of audit staff, including managing offshore resources.
Assign and coordinate cases with clinical, coding, technical, and documentation teams.
Ensure efficient workflows and balanced workloads across team members.
Work flexible hours when needed to support offshore operations and tight deadlines.
Collaboration Across Departments
Act as the liaison between clinical, coding, HIM, compliance, and IT teams for audit support.
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  • Florida, New York, United States

Sprachkenntnisse

  • English
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