Clinical Documentation Auditor

About the role

The QA/Payroll Specialist at Mahajan Therapeutics is responsible for coordinating all agency activities relating to proper utilization, handling, and maintenance of client treatment records. This position also involves conducting daily and weekly documentation audits, assisting in auditing discharge charts, reviewing billable services, and monitoring accuracy of forms and EHR procedures.

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, reporting any discrepancies to the Treatment Center Director and documenting in EHR.
• Affixes 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 puts alerts in EHR.
• Reconciles failed activities and failed claims 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 ensures accuracy.
• 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.
• Affixes assistance with chart audits, filing, and making new charts.
• Inputs payroll data for the Case Managers.
• Performs other duties as assigned.

Requirements

• High school diploma or equivalent from an accredited secondary education institute.
• Experience and knowledge of state and federal healthcare regulations.
• 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 with the willingness to learn.
• 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.
• Adaptability in a challenging and dynamic environment; understands and works well in a matrixed organizational structure.
• Satisfactory references from employers and/or professional peers.
• Satisfactory criminal background check.
• Satisfactory drug screen.

Qualifications

• Competency with EHR systems.

Skills

• Strong attention to detail.
• Effective communication skills.
• Organizational skills.
• Ability to manage multiple tasks simultaneously.
• Knowledge of state and federal healthcare regulations.
• Proficiency with MS Office applications.
• Ability to navigate and utilize EHR systems.

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.