State Licensed Audit Manager

Job Summary

Leading a team of Concept Development Analysts and Operations Administrators, the full-time State Licensed Audit Manager will oversee the development and execution of complex audit concepts, mentor team members, and ensure alignment with regulatory requirements and client policies.

Key responsibilities

• Provide leadership and mentorship to the audit team, ensuring performance standards are met and fostering a culture of collaboration
• Lead strategic initiatives and product development efforts, collaborating with cross-functional teams to optimize business tools and processes
• Act as a subject matter expert in reimbursement methodologies and regulatory changes, identifying opportunities for concept refinement and innovation

Required qualifications

• Bachelor's degree in Nursing, Health Information Management, or a related field
• State licensure or AHIMA/AAPC coding certification required
• At least 8 years of experience in healthcare, with a minimum of 3 years in medical record auditing
• Previous management experience and proficiency in Microsoft Office Suite
• Advanced knowledge of healthcare coding systems and familiarity with Medicare reimbursement methodologies