Provider Audit Program Manager
As the Provider Audit Program Manager, I lead the development and management of compliance audits to prevent and detect medical coding risk specifically related to provider documentation and coding for our organization. I maintain current knowledge of compliance requirements and monitor risks as well as mitigate and develop strategies to ensure compliance. This includes tracking trends and reporting key findings to identify risk areas with key stakeholders and external entities as well as create and execute provider coding & documentation education on 1:1 or rounds basis. As part of my role, I regularly communicate throughout the organization on a wide-range of topics from provider audits to working cross-functionally with different teams on implementing new medical services. In addition, I manage the Provider Audit team including but not limited to monitoring day to day activities and performance as well as training, mentoring and handling of issues or questions.
