Audit Analyst

Company Overview:

TapestryHealth is dedicated to improving the quality of care for patients in skilled nursing facilities. We deliver innovative, technology-enabled healthcare solutions designed to enhance patient outcomes, optimize operations, and support the unique needs of long-term care providers. With a team of experienced professionals and cutting-edge tools, we collaborate with our partners to ensure the highest standards of care while reducing barriers to access and efficiency. Together, we are transforming healthcare for the better — one patient, one facility, and one solution at a time.

Job Overview:

We are seeking an experienced, highly organized, and meticulous Audit Analyst. The ideal candidate will be responsible for overseeing the company’s payer and client-initiated audit activities. Direct accountability includes working closely with the Compliance team to support the execution of payer audit investigations and resulting corrective actions.

Key Responsibilities:

o Investigate and coordinate comprehensive and timely responses to internal and external payer and client-initiated audits

o Enter and update all audit details on the audit tracker

o Prepare summaries for management of audits received and the results

o Based on audits prepare supporting documentation requests for process and/or system configuration changes to improve deficiencies

o Coordinate recoupment efforts with billing company due to billing errors and/or over payments

o Communicate directly with patients/POA’s/clients/insurance companies to resolve any questions or concerns that may arise regarding billing audits

o Serve as a trusted revenue cycle audit compliance partner to operational, legal, compliance, information technology, and other teams

o Stay up to date on revenue cycle and regulatory requirements associated with governmental, managed care, and commercial payers

Qualifications:

Required:

• Associate's degree in healthcare or equivalent combination of education and experience

• 2-4 years of experience in healthcare care auditing

• Ability to relate well to all kinds of people, up, down, and sideways, inside and outside the organization

• Strong computer skills including advanced knowledge of Microsoft Excel, Word, PowerPoint, Outlook, and OneDrive

• Exceptional analytical skills with the ability to analyze large amounts of data, identify patterns, and draw conclusions

• Strong attention to detail, critical thinking and problem-solving skills

• Certified Professional Coder (CPC)

• Certified Professional Medical Auditor (CPMA)

Preferred:

• Certified Risk Adjustment Coder (CRC)