Profee Lead Auditor

Full-Time Profee Audit Lead

Why Join Us?
At Managed Resources, we’re more than just another revenue cycle vendor — we’re a trusted partner to some of the nation’s largest health systems. Our team is backed by nearly three decades of experience, national recognition through KLAS ratings, and proven results that overturn denials and recover millions for providers. What sets us apart is our blend of deep expertise, hands-on execution, and education — we don’t just do the work, we empower our clients to thrive. Here, you’ll be part of a team that combines credibility, innovation, and impact to make a real difference in healthcare.

Purpose:

The primary responsibilities of the Professional Lead Auditor comprise of auditing medical records to determine accurate professional fee codes and completing formal audit reports. Additional duties under the direct supervision of the Professional Audit Supervisor will include audit client project oversight and quality assurance of other auditors on the team. This is a full time, remote, hourly position.

Reports to:

Manager of Professional Audit & Education

Essential Job Functions:

Complete the following functions in accordance with Managed Resources policies:

• Perform multi-specialty provider and coder audits by reviewing medical record documentation compared to selected professional fee codes. Code review includes E/M, CPT, HCPCS, ICD-10-CM and modifiers. Review of medical records may include office visits, hospital visits, minor and majority surgeries and diagnostic testing.
• Accurately enter data into the audit software and/or Audit Excel reports. Compose audit findings and recommendations comments.
• Evaluate the overall quality of physician documentation for quality improvement measures.
• Perform accurate audits using applicable coding guidelines and client protocols.
• Report findings and questions from audit staff to the Supervisor or Manager.
• Research coding guidelines and provide updates to audit team and Supervisor.
• Perform quality assurance reviews on team members to ensure accurate coding as assigned by the Supervisor.
• Communicate directly with Supervisor of Professional Audit and Education for client updates, assignments, and client deliverables.
• Communicate with audit team to assist with training, questions, work volumes, project updates and due dates.
• Communicate with client as needed and/or requested by the Supervisor (i.e. coding clarification, missing documentation, client calls, subject matter expert, etc.)
• Assist with project tracking.
• Assist with Audit report and Executive Summary report writing.
• Track and enter time accurately and timely into our timekeeping system.
• Comply with policies regarding the use and disclosure of protected health information which includes accessing and using protected health information only to the extent necessary to fulfill the above-mentioned responsibilities
• Ensure compliance with federal and state laws, regulations, and standards related to health information and coding principles.
• Other duties as assigned.

Education and Experience:

• Must have one of the following current credentials from AAPC or AHIMA; CPC, CCS-P.
• Certified Professional Medical Auditor (CPMA) credential from AAPC preferred.
• A minimum of 3- 5 years of performing professional fee formal audits that include accurate coding, roll up trends and recommendations and written reports.
• A minimum of 3-5 years’ A minimum of three - five years’ experience required abstracting CPT, E&M, HCPCS and ICD-10-CM codes from provider documentation.
• A minimum of 1-2 years' recent experience as a Lead or performing similar duties.
• Requires advanced multispecialty coding knowledge in medical and surgical specialties as assigned including but not limited to E/M clinic & minor procedures, E/M hospital, surgery, and OBGYN/Women's Health
• Extensive knowledge of medical terminology
• Experience in researching and applying coding rules and regulations.
• Must have experience with data entry of codes into a database and/or software tool.
• Proficiency in Microsoft Excel, Word, and EMR (Electronic Medical Record) systems including Epic, Cerner, and others. Audit software such as Audit Manager, Intellicode, and MDAudit are a plus.
• Excellent oral and written communication skills.
• Have a positive, respectful attitude.

Managed Resources Inc. is an Equal Opportunity Employer (EOE) M/F/D/V/SO

What We Offer:

• Work From Home Comfort – We’ll set you up with the home office equipment you need to succeed.
• Fun & Recognition – From employee raffles to recognition programs, we love celebrating our team.
• Career Support – We cover AHIMA and AAPC membership fees so you can stay connected to your profession.
• Health & Wellness – Our insurance plans include telehealth services, giving you peace of mind and easy access to care.
• Perks & Discounts – Take advantage of exclusive employee discounts on a variety of products and services.
• Learning & Growth – Stay sharp with free webinars and CEUs to keep your skills current.

Other Benefits You’ll Love:

• Health, dental, and vision insurance
• Pet insurance (because furry family members matter, too!)
• 401(k) with company match to help plan for your future

If you’re ready to join a supportive team where your contributions are valued and your growth is encouraged, we’d love to meet you.

Apply today and let’s grow together!

Job Type: Full-time

Pay: $32.00 - $37.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee discount
• Flexible schedule
• Health insurance
• Life insurance
• Paid time off
• Referral program
• Vision insurance

Application Question(s):

• Do you have experience providing education to providers and/or coders?
• Do you have 3-5 recent years of experience performing professional fee formal audits to include coding accuracy, roll up trends, and written recommendations/reports?
• Do you have experience working multiple audit projects at one time?
• Do you have experience auditing internal staff and providing education?
• Do you have experience coding & auditing for multiple specialties (E&M clinic & minor procedures, E&M hospital, and surgery)?

Experience:

• Microsoft Excel: 3 years (Required)

License/Certification:

• Certified Professional Coder (Required)
• CCSP (Required)

Work Location: Remote