Top 4 Clinical documentation auditor Jobs in Joliet Il

Certified Medical Auditor
PODIATRY SERVICE COMPANY LLC —United States
- $75,000 - $80,000 a year
- Full-time
- Writing skills
- HIPAA
- Mid-level
- Health savings account
- AD&D insurance
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This position safeguards the Health Systems compliance with state and federal documentation and billing requirements. Clinical background is strongly preferred.
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Certified Medical Auditor

PODIATRY SERVICE COMPANY LLC -
United States

Quick Apply

Job Details

Full-time
$75,000 - $80,000 a year

Benefits

Health savings account
AD&D insurance
Disability insurance
Health insurance
Dental insurance
401(k)
Paid time off
Employee assistance program
Vision insurance
Life insurance

Qualifications

Writing skills

Full Job Description

Description:

A Certified Professional Medical Auditor is responsible for reviewing and auditing medical documentation, including patient records, charts, and clinical notes, to ensure accuracy, compliance with regulations, and adherence to industry standards. This role is crucial in maintaining the integrity of medical records, billing processes, and healthcare facilities' compliance with applicable laws and regulations.

Requirements:

Key Responsibilities:

Medical Documentation Review:

Conduct thorough audits of patient medical records, including physician notes, progress notes, discharge summaries, and other relevant documentation.
Examine medical records to verify their completeness and conformity with established standards, ensuring they accurately reflect the patient's condition, diagnosis, treatment, and other pertinent information.
Verify that documentation adheres to established coding guidelines, such as ICD-10 and CPT, and compliance with healthcare regulations (e.g., HIPAA, Medicare, Medicaid).

Compliance Assessment:

Evaluate medical documentation for compliance with industry standards, hospital policies, and governmental regulations.
Assess policy adherence and procedural efficiency, upholding data integrity through audits and scrutinizing a range of medical documentation.
Identify and report any discrepancies or potential compliance issues, recommending corrective actions as needed.

Billing and Claims Audit:

Analyze medical claims data and associated documentation by conducting continuous auditing with analyses to prevent and address discrepancies and non-conformities in billing and provider chart documentation.
Evaluate coding and documentation to identify recommendations for provider improvement.
Document audit findings and suggest any applicable changes and/or opportunities for documentation improvement.
Recognize and identify trends in billing and documentation at both the practice and provider levels.

Education and Communication:

Assist in providing coding knowledge to providers and billing departments as needed.
Collaborate and communicate verbally and in writing to deliver audit findings, clearly articulating rationale supported by evidence of conclusions.

Knowledge and Compliance with Coding Standards:

Maintain current knowledge of CMS policies and coding applications for CPT, ICD-10, HCPCS, and other applicable coding standards for medical claims.
Compilation of applicable CMS fees and audit findings/results for tracking accuracy and provider productivity analysis.

Qualifications:

Certified as a CPMA
3+ years of experience in healthcare
Detailed oriented, attention to detail and ability to multi-task
Good written and verbal communication skills

Benefits:

401(k)
AD&D insurance
Health insurance
Dental insurance
Vision insurance
Disability insurance
Employee assistance program
Health savings account
Life insurance
Paid time off

Quick Apply

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clinical documentation auditor jobs in joliet il

Certified Medical Auditor

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