About this opportunity
Aeroflow Inc lists this Audit Specialist opportunity in asheville, North Carolina. Review the employer’s description below for duties, qualifications and application requirements.
Job 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 external 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 compliance risks and billing errors
Analyze audit findings to identify trends, root causes, and process gaps
Provide clear, actionable feedback to coding, billing, and AR teams
Support corrective action plans and ongoing audit readiness initiatives
Assist with internal monitoring programs and quality assurance review
Employee has an individual responsibility for knowledge of and compliance with laws, regulations, and policies.
Compliance is a condition of employment and is considered an element of job performance.
Maintain HIPAA/patient confidentiality
Required Qualifications
High school diploma or equivalent required; associate or bachelor's degree preferred
3+ years of experience in auditing, compliance, coding, or revenue cycle operations
Strong knowledge of Medicare and Medicaid regulations and payer audit processes
Experience responding to external payor audits (e.g., RAC, UPIC, CERT, SMRC, or commercial audits)
Ability to review medical documentation and claims data for compliance and accuracy
What we look for
We are looking for high motivated talented individuals who have:
A high level of integrity and trust
The ability to remain calm and perform duties accurately in crisis or emergency situations
Knowledge of principles for providing excellent customer service and satisfaction
The ability to interpret rules and regulations (federal and state-by-state), and make recommendations to management concerning the same
The ability to communicate clearly, make oral presentations to senior management, and prepare concise detailed written reports
Demonstrated organization, facilitation, communication, and presentation skills.
What Aeroflow Offers
Competitive Pay, Health Plans with FSA or HSA options, Dental, and Vision Insurance, Optional Life Insurance, 401K with Company Match, 12 weeks of parental leave for birthing parent/ 4 weeks leave for non-birthing parent(s), Additional Parental benefits to include fertility stipends, free diapers, breast pump, Paid Holidays, PTO Accrual from day one, Employee Assistance Programs and SO MUCH MORE!!
Here at Aeroflow, we are proud of our commitment to all of our employees. Aeroflow Health has been recognized both locally and nationally for the following achievements:
Family Forward Certified
Great Place to Work Certified
Inc. 5000 Best Place to Work award winner
HME Excellence Award
Sky High Growth Award
If you've been looking for an opportunity that will allow you to make an impact, and an organization with unlimited growth potential, we want to hear from you!
Aeroflow Health is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.
We value transparency and candidate safety throughout the hiring process. Aeroflow recruiters may reach out through platforms such as LinkedIn or Indeed; however, all interviews and/or offer coordination and sensitive information requests will occur only through our official communication channels. You will never be asked to provide personal data outside our secure application portal, and all interview or offer details will come from an @aeroflowinc.com email address. We do not conduct interviews via text message or instant-messaging apps. If you have concerns, please contact our Talent Acquisition team for verification
Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
Worksite address
asheville, NC, 28814, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.