Audit Specialist (Remote)
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Job Location:
Asheville, NC - USA
Monthly Salary:
Not Disclosed
Posted on:
23 hours ago
Vacancies:
1 Vacancy
Job Summary
Aeroflow Health Audit Specialist
The Opportunity
Aeroflow Health is recruiting for an Audit Specialist who will report to the Director of Audits. The Audit Specialist supports Aeroflows compliance and revenue integrity efforts by managing healthcare claims audits partnering with business units and helping the organization identify and address gaps that impact audit outcomes.
This role plays a key part in audit readiness denial prevention and continuous process improvement across revenue cycle operations. While technical audit knowledge is important this role also requires strong communication critical thinking and the ability to work cross-functionally to translate audit findings into operational improvements.
Your Primary Responsibilities
Healthcare Claims Audit Support
- Support external healthcare claims audits including pre-pay and post-pay audits
- Coordinate and prepare timely audit responses including medical records and supporting documentation
- Participate in audit review cycles including record requests findings review rebuttals appeals and recoupment processes
- Review audit findings for consistency accuracy and alignment with applicable policies
- Help identify trends risks and recurring audit issues across claims and business units
Business Unit Partnership & Problem Solving
- Partner with internal business units to gather information needed to support audits
- Communicate audit findings clearly including explaining where gaps exist and why audits may be failing
- Work collaboratively with teams to identify what changes or controls need to be put in place to improve audit outcomes
- Translate audit results into actionable insights that support front-end process improvement
- Support ongoing audit readiness initiatives and internal monitoring efforts
General Compliance Responsibilities
- Employee has an individual responsibility for knowledge of and compliance with laws regulations and policies.
- Compliance is a condition of employment and is considered an element of job performance
- Maintain HIPAA/patient confidentiality
- Perform other duties as assigned
Required Qualifications
- High school diploma or equivalent required; associate or bachelors degree preferred
- 24 years of experience in healthcare claims auditing or a closely related area
- Basic understanding of healthcare claims audits including pre-pay and post-pay audit processes
- Familiarity with the audit lifecycle including record requests findings review appeals and recoupment
- Strong critical thinking and problem-solving skills
- Ability to communicate clearly and effectively with both technical and non-technical partners
- Comfort engaging with business units to ask questions gather information and explain audit-related findings
You might also have
- Experience with DME audits
- Experience with Medicare or Medicaid audits particularly related to DME
- Prior interaction with government payor auditors
- Subject-matter expertise or go-to resource experience within an audit or compliance function
What We Look For
We are looking for motivated individuals who demonstrate:
- High integrity and sound judgment
- Strong communication skills and the ability to explain complex information clearly
- The ability to remain calm and accurate in time-sensitive or high-pressure situations
- An analytical mindset with a focus on continuous improvement
- Organization follow-through and accountability
- A collaborative approach to working across teams and stakeholders
What Aeroflow Offers
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 and SO MUCH MORE!!
Here at Aeroflow we are proud of our commitment to all of our employees. Aeroflow Health has been recognized both locally and nationally for the following achievements:
- Family Forward Certified
- Great Place to Work Certified
- Inc. 5000 Best Place to Work award winner
- HME Excellence Award
- Sky High Growth Award
If youve been looking for an opportunity that will allow you to make an impact and an organization with unlimited growth potential we want to hear from you!
Aeroflow Health is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race color sex religion sexual orientation national origin disability genetic information pregnancy or any other protected characteristic as outlined by federal state or local laws.
Required Experience:
IC
Key Skills
- Auditing
- Microsoft Office
- Communication skills
- Computer Skills
- GAAP
- Accounting
- Analysis Skills
- Research Experience
- Securities Law
- Training & Development
- Mentoring
- GAAS
About Company
Aeroflow Healthcare is recognized as a premier provider of medical equipment band services nationwide! We pride ourselves on being the most innovative company in the industry and using technology to help us consistently delivery world-class customer service to every single patient. Pa ... View more
