Position Summary
HBiz is seeking an experienced and highly organized Manager of Audit to lead all audit-related operations across government, commercial, and post-payment audits. This fully remote role will report directly to the VP of Clinical Appeals and is responsible for overseeing end-to-end audit processes, ensuring regulatory compliance, and managing a team that includes offshore staff. The ideal candidate is a strong communicator, detail-oriented, and comfortable working flexible hours to support coordination across global teams and time zones.
Key Responsibilities
- Audit Oversight & Lifecycle Management
- Lead the management and response process for a variety of audits including RAC, MAC, CERT, PERM, TPE, and commercial payer audits.
- Oversee case intake, documentation collection, quality review, and timely submission.
- Track and analyze audit trends, denials, and appeal outcomes to identify risks and recommend improvements.
- Reporting & Tracking
- Maintain detailed audit logs and status reports using audit tracking systems.
- Develop and deliver regular audit performance dashboards and summaries to leadership.
- Identify audit trends and provide insights for proactive risk mitigation.
- Team Management & Workflow Coordination
- Supervise and support a team of audit staff, including managing offshore resources.
- Assign and coordinate cases with clinical, coding, technical, and documentation teams.
- Ensure efficient workflows and balanced workloads across team members.
- Work flexible hours when needed to support offshore operations and tight deadlines.
- Collaboration Across Departments
- Act as the liaison between clinical, coding, HIM, compliance, and IT teams for audit support. <