Compliance Audit Manager conducting research billing audits and managing the Research Billing Compliance program at McKesson. Engage in key audits at oncology practices ensuring ethical and lawful practices.
Responsibilities
Conduct routine audits of research billing at McKesson's network of oncology practices
Abstract and perform research billing audits of charge data using medical records
Document results and corrections clearly and concisely
Assist in developing an annual risk-based audit plan
Prepare audit reports of findings and recommendations for improvement
Collaborate with the Research Operations group to ensure accurate findings
Requirements
Degree or equivalent
4+ years of relevant experience
4+ years of auditing experience and relevant experience in clinical research
Demonstrated knowledge of Medical Terminology and Anatomy & Physiology
Expertise in federal payor guidelines/third-party payer reimbursement
Coding and documentation requirements
Proficient in Microsoft 365 applications
Extremely detail-oriented with superior organizational and analytical skills
Ability to use data and analytics to advance compliance audit program efficiency and effectiveness
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