Senior Associate

BRG

5d•$70,000 - $115,000

About The Position

The Senior Associate joins BRG’s Healthcare Transactions and Strategy (HTS) group and develops into a Healthcare Compliance Auditor. HTS performs regulatory, reimbursement, data analytics, and compliance auditing for healthcare providers, payers, and investors. The role involves executing qualitative and quantitative engagement work streams, including billing and coding audits, compliance program reviews, quality control, client deliverables, and industry research. No prior coding experience is required; BRG will fund and provide training for an AAPC (CPC, CPMA) or AHIMA (CCC-P, AOC) certification.

Requirements

Four-year bachelor's degree (BS or BA).
Passion for healthcare and desire to obtain a medical coding certificate.
1–2 years of work experience in a professional setting, ideally in healthcare-focused consulting.
Ability to interpret national coding and documentation guidelines and translate them into effective auditing practices and tools.
Ability to identify coding and documentation issues, recommend corrective action, and develop reports to track and trend audit findings and results.
Proficiency with Microsoft Office, specifically Excel, PowerPoint, Access, and Word, and willingness to expand those capabilities and train others to use the tools.
Commitment to high-quality analysis and attention to detail.
Excellent time management and organizational skills, with the ability to prioritize work and meet deadlines.
Keen interest in healthcare compliance and healthcare policy.
Exceptional verbal and written communication skills.
Desire to work within a team environment.
Ability to verify legal authorization to work in the United States without company sponsorship now or in the future.

Nice To Haves

Medical auditing certification.
Experience with physician practice coding, such as primary care, dermatology, orthopedics, or ophthalmology; ASC coding; and/or post-acute coding, such as hospice, home health, or skilled nursing facilities.
Experience at a consulting firm auditing providers or conducting audits associated with transactional diligence.
Experience auditing and reviewing providers in a health plan’s network.

Responsibilities

Plan and perform medical record audits to assess coding accuracy and compliant claims submission.
Develop coding and documentation audit methodology based on key compliance risk areas.
Review medical records and charges through coding and documentation audits to assess compliance.
Analyze audit findings to identify trends and problems, and communicate findings and recommended improvements.
Monitor relevant resources, publications, and government compliance and enforcement activity related to high-risk compliance areas.
Learn and stay current on coding guidelines.
Develop analyses using transactional and/or financial data.
Generate client deliverables and contribute to expert reports.
Use relevant software tools and analytical methods creatively and efficiently to develop solutions.
Prioritize assignments and responsibilities to meet goals and deadlines.