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.
- Audits 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 weekly on all duties involving ISP’s, chart errors, and documentation errors, and sets up alerts in EHR.
- Monitors and reconciles failed activities and failed claims daily.
- QA all notes in EMR in accordance with medical necessity.
- Reconciles denials with Claim Specialist and billing reports.
- Reconciles all billing, timecards, and EHR reports.
- Verifies insurance eligibility information.
- Inputs and checks the accuracy of payroll data for Case Managers.
- Assists with light clerical duties such as filing, copying, and typing.
- Manages chart audits, filing, and creating new charts.
- 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.
- Detail-oriented approach and ability to maintain high levels 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
- 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.
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.
Company Culture
Mahajan Therapeutics is a progressive substance abuse treatment organization committed to the highest quality of patient care in a comfortable outpatient clinic setting. Our ultimate goal is to address the physical, emotional, and mental aspects of opioid use disorder to help each of our patients achieve long-term recovery and an improved quality of life.
Equal Opportunity Employer
Mahajan Therapeutics is an equal opportunity employer and complies with all Federal, State, and local laws prohibiting employment discrimination on the basis of race, color, age, natural origin, ethnicity, religion, gender, pregnancy, marital status, sexual orientation, citizenship, genetic disposition, disability or veteran’s status or any other classification protected by State/Federal laws.