The Senior Compliance Coding Auditor conducts independent coding, billing, and documentation audits to ensure regulatory compliance and revenue integrity. This role also provides education to providers and staff while developing corrective action plans to mitigate identified risks.
The Senior Data Analyst is responsible for organizing, analyzing, and reporting on large clinical, financial, and enrollment datasets to support business intelligence. They will also design and develop data warehouses and dashboards while serving as an Epic subject matter expert for reporting development.
The Case Manager identifies, screens, and monitors the care of members with multiple co-morbidities and psychosocial needs. They are responsible for conducting comprehensive patient assessments and establishing individualized care plans to promote positive clinical outcomes.
Conduct prospective and retrospective billing and coding audits to ensure accuracy and compliance with payer requirements. Provide training and education to providers and staff while reporting findings to executive leadership.
