Clinical Documentation Auditor

About the role

Billing Quality Control (QA/Payroll Specialist) at Mahajan Therapeutics.

Responsibilities

• Ensures the appropriate maintenance and auditing of all individual client records in EHR.
• Conducts daily and weekly documentation audits to ensure accuracy and compliance. Reports any discrepancies to the Treatment Center Director and documents in EHR.
• Affords assistance in auditing discharge charts for completion and accuracy.
• Conducts biweekly billing audits of all billable services, including coordinating billing to the billing company.
• Reviews all notes to match ISP goals / clinical documentation.
• Maintains accuracy of all currently used forms and EHR procedures.
• Reports to the Treatment Center Director weekly on all duties involving ISP’s, chart errors, and documentation errors, and places alerts in EHR.
• Monitors accuracy of failed activities and failed claims, reconciling daily.
• QA all notes in EMR in accordance to medical necessity.
• Reconciles denials with Claim Specialist timely.
• Reconciles all billing, timecards, and EHR reports.
• Performs payroll input and accuracy checks.
• Navigates EHR system adequately and assists with light clerical duties such as filing, copying, and typing.
• Verifies insurance eligibility information.
• Follows all clinic policies and procedures, as well as, state and federal regulations.
• Affords assistance with chart audits, filing, and making new charts.
• Inputs payroll data for Case Managers.
• Performs other duties as assigned.

Requirements

• High school diploma or equivalent from an accredited secondary education institute.
• Prior experience with identifying if a patient meets criteria for admission to a program.
• Demonstrated experience in managing multiple priorities.
• Self-starter, proactive, organized, and possesses strong interpersonal and communication skills.
• Detail-oriented approach and ability to maintain a high level of ownership and accuracy.
• Proven competency with MS Office applications, including Word, Excel, and PowerPoint.
• Adaptable in a challenging and dynamic environment; understands and works well in a matrixed organizational structure.

Qualifications

• Competitive salary.
• Comprehensive benefits package including medical, dental, vision, and 401(K).
• Generous paid time off accrual.
• Excellent growth and development opportunities.
• Satisfying and rewarding work striving to overcome the opioid epidemic.

Skills

• Knowledge of state and federal healthcare regulations.
• Ability to navigate EHR system.
• Light clerical duties such as filing, copying, and typing.
• Verification of insurance eligibility information.
• Follows clinic policies and procedures, as well as, state and federal regulations.
• Assists with chart audits, filing, and making new charts.
• Inputs payroll data for Case Managers.

Benefits

• Competitive salary.
• Comprehensive benefits package including medical, dental, vision, and 401(K).
• Generous paid time off accrual.
• Excellent growth and development opportunities.
• Satisfying and rewarding work striving to overcome the opioid epidemic.