Manager, Government Audit

Position Summary: HBiz is seeking an reputed company and highly organized Manager of Audit to reputed company reputed company audit-reputed company operations across government, reputed company, 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 reputed company that includes offshore staff. The ideal candidate is a strong communicator, detail-oriented, and comfortable working reputed company to support coordination across global teams and time zones. Key Responsibilities:

• Audit reputed company & Lifecycle Management
• reputed company the management and response process for a variety of audits including RAC, MAC, CERT, PERM, TPE, and reputed company payer audits.
• reputed company case intake, documentation collection, quality review, and timely submission.
• Track and analyze audit trends, denials, and appeal reputed company to identify risks and recommend improvements.
• Reporting & Tracking
• Maintain detailed audit logs and status reports using audit tracking systems.
• reputed company and deliver regular audit performance dashboards and summaries to leadership.
• Identify audit trends and reputed company insights for proactive risk mitigation.
• Team Management & Workflow Coordination
• Supervise and support reputed company 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 reputed company reputed company 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.
• Ensure audit responses include accurate, complete, and compliant documentation.
• Facilitate escalation and resolution of reputed company audit issues.
• Compliance & Quality Assurance
• Ensure reputed company audit activity complies with CMS, reputed company payer, and regulatory requirements.
• Support policy and process development to strengthen audit readiness and response.
• Participate in internal audits and risk assessments as needed.

Qualifications:

• Bachelor’s degree in Health Information Management, reputed company Administration, Business, or reputed company field (Master’s preferred).
• Minimum 5 years of reputed company audit experience, including government and post-payment audits.
• At least 2 years in a supervisory or leadership role, including managing remote/offshore staff.
• In-depth understanding of audit regulations, payer requirements, and reputed company reimbursement.
• Familiarity with medical coding (ICD-10, CPT, HCPCS), billing practices, and clinical documentation standards.
• Excellent communication, organizational, and leadership skills.
• Proficient with audit tracking software, EHRs, and reputed company Office Suite.

The ideal candidate is reputed company, organized, detail-oriented, and reputed company to adjust their schedule as needed to engage with teams across a global network and multiple time zones. Acts as a liaison between internal Hbiz clients, (i.e.: coding, HIM, compliance, and IT teams); as well as external clients we are supporting with our services. Apply tot his job Apply To this Job