Build An Audit-Ready Team
Hire skilled talent with expertise in compliance, coding, and fraud/abuse/waste detection, ensuring audit accuracy and effectiveness.
CMS is shifting its strategy. With the release of the 2026 Program Audit updates and 2027 proposed changes, “business as usual” is no longer enough. The Medicare Parts C and D Oversight and Enforcement Group (MOEG) has intensified focus on operational transparency and high-yield member impact areas.
Partner with Medix to find experienced talent trained in the latest CMS protocols.
We support:
Member Services
Provider relations
Claims Processing
Enrollment and eligibility
Appeals and grievances
Risk adjustment and coding
CMS estimates a program audit requires 316 to 346 staff hours, plus an additional 100 to 165 hours for Validation Audits (IVAs). Don’t let staffing shortages lead to timeliness failures or enrollment pauses.
We find auditors in 6.33 days (vs. 36-day industry average).
Risk adjustment coders
Enrollment specialists
Compliance auditors
Quality assurance and audit managers
Project directors
Medical record retrieval teams
Appeals and grievances specialists
Hire skilled talent with expertise in compliance, coding, and fraud/abuse/waste detection, ensuring audit accuracy and effectiveness.
Benefit from our deep understanding of Medicare Advantage plans and compliance with CMS.
Tap into our large network of local, pre-vetted specialized talent for audit teams, eliminating your hiring burden and accelerating your readiness.
Stay within your budget and your means, reducing the financial risks of talent acquisition and the overhead of full-time employees.
Everything is streamlined, from identifying talent to onboarding — we handle it all. You’ll only see the most relevant candidates, saving you valuable time.
Get secondary staffing support in provider relations while you also deal with increased grievances or compliance scrutiny.
Health plans Medix has worked with over the years
CMS audits Medix talent has helped our clients pass
Years of experience providing Medicare Advantage staffing
Size of the Medix talent pool nationwide