Audit Specialist

Aeroflow Career • Asheville, NC

1d

About The Position

Aeroflow is recruiting for an Audit Specialist who will report to the Director of Audits. The Audit Specialist supports Aeroflow’s compliance and revenue integrity by managing external payor audits and conducting internal audits to identify risk, ensure regulatory compliance, and improve operational accuracy. This role plays a key part in audit readiness, denial prevention, and continuous process improvement across revenue cycle operations.

Requirements

• High school diploma or equivalent required
• 3+ years of experience in auditing, compliance, coding, or revenue cycle operations
• Strong knowledge of Medicare and Medicaid regulations and payer audit processes
• Experience responding to external payor audits (e.g., RAC, UPIC, CERT, SMRC, or commercial audits)
• Ability to review medical documentation and claims data for compliance and accuracy

Nice To Haves

• associate or bachelor’s degree preferred
• A high level of integrity and trust
• The ability to remain calm and perform duties accurately in crisis or emergency situations
• Knowledge of principles for providing excellent customer service and satisfaction
• The ability to interpret rules and regulations (federal and state-by-state), and make recommendations to management concerning the same
• The ability to communicate clearly, make oral presentations to senior management, and prepare concise detailed written reports
• Demonstrated organization, facilitation, communication, and presentation skills.

Responsibilities

• Serve as a primary contact for external payor audits, including Medicare, Medicaid, and commercial insurance reviews
• Coordinate and prepare complete, timely audit responses, including medical records and claim documentation
• Review claims for medical necessity, coding accuracy, and payer compliance
• Interpret and apply CMS regulations, LCDs/NCDs, and commercial payor policies
• Track audit timelines, outcomes, and financial impact
• Support appeals, rebuttals, and redeterminations related to adverse audit findings
• Conduct pre- and post-bill internal audits to identify compliance risks and billing errors
• Analyze audit findings to identify trends, root causes, and process gaps
• Provide clear, actionable feedback to coding, billing, and AR teams
• Support corrective action plans and ongoing audit readiness initiatives
• Assist with internal monitoring programs and quality assurance review
• Maintain HIPAA/patient confidentiality

Benefits

• Competitive Pay
• Health Plans with FSA or HSA options
• Dental, and Vision Insurance
• Optional Life Insurance
• 401K with Company Match
• 12 weeks of parental leave for birthing parent
• 4 weeks leave for non-birthing parent(s)
• Additional Parental benefits to include fertility stipends, free diapers, breast pump
• Paid Holidays
• PTO Accrual from day one
• Employee Assistance Programs

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED