Manager, Government AuditHealth Business Solutions LLC • Florida, New York, United States
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Manager, Government Audit
Health Business Solutions LLC
- Florida, New York, United States
- Florida, New York, United States
About
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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Languages
- English
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