Job Description
About the position Responsibilities • Lead complex anesthesia-specific compliance audits, including CPT, ICD-10, modifiers, and billing practices. • Develop and deliver targeted training for clinical staff on anesthesia coding, documentation, and regulatory requirements. • Identify risk areas through detailed data analysis, trend monitoring, and audit findings. • Collaborate with leadership to refine audit strategies and implement process improvements. • Prepare detailed reports, presentations, and corrective action plans to ensure ongoing compliance excellence.
• Support ongoing education initiatives to elevate staff awareness and adherence to federal, state, and industry regulations. Requirements • Minimum of 10+ years of healthcare compliance auditing experience with a heavy focus on anesthesia. • Deep knowledge of anesthesia coding, billing, and documentation standards, including CPT, ICD-10, HCPCS, and modifier usage. • Proven success in leading complex audits, developing training materials, and mentoring teams. • Strong analytical skills with the ability to interpret data and identify trends.
• Exceptional communication skills for engaging with senior leadership and clinical staff. • Experience working with regulatory bodies and understanding of HIPAA, Medicare, Medicaid, and third-party payers. • Experience leading impactful compliance initiatives in a reputable healthcare organization. • Expertise in Collaborating with team members dedicated to excellence for continuous improvement. • Shape compliance strategies and influence organizational policies. Apply tot his job Apply tot his job