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Audit Specialist

Aeroflow Health • Asheville, NC, US • published 2026-09-24 22:03:54.946997

Description

**Aeroflow Health –Audit Specialist** Aeroflow is recruiting for an Audit Specialist who will report to the Director of Audits. The Audit Specialist supports Aeroflow’s compliance and revenue integrity by managing external payor audits and conducting internal audits to identify risk, ensure regulatory compliance, and improve operational accuracy. This role plays a key part in audit readiness, denial prevention, and continuous process improvement across revenue cycle operations. **Primary Responsibilities** **External Payor Audit Support** * Serve as a primary contact for **exte****rnal payor audits****,** including Medicare, Medicaid, and commercial insurance reviews * Coordinate and prepare complete, timely audit responses, including medical records and claim documentation * Review claims for **medical necessity, coding accuracy, and payer compliance** * Interpret and apply **CMS regulations, LCDs/NCDs, and commercial payor policies** * Track audit timelines, outcomes, and financial impact * Support **appeals, rebuttals, and redeterminations** related to adverse audit findings **Internal Audit \& Compliance Support** * Conduct **pre\- and post\-bill internal audits** to identify c...

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