health business solutionsTallahassee, FL
Manager, Government Audit
Manager, Government Audit
Manager, Government Audit
health business solutionsTallahassee, FL
today
Other General Government SupportOther Management Consulting ServicesAdministrative Management and General Management Consulting Services
Apply for this role (opens in a new tab)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.
Also on the board Same function, level within a rung
Level
Manager
Location
Tallahassee, FL
Occupation
Compliance Managers
Industry
Other General Government Support
Posted
today