Chart Auditor - Chart Audit

POSITION SUMMARY:

The Chart Auditor will be responsible for reviewing medical records for accuracy, quality assurance, and billing purposes. The Chart Auditor will be responsible for assessing medical records to determine if the Evaluation and Management (E/M), procedures, and HCC/ICD-10 codes are within the health care policies and standards. The Chart Auditor will perform internal audits and remain up to date on current policy and procedural guidelines to ensure the proper coding and policy guidelines are followed. The Chart Auditor will be responsible for promoting and encouraging compliance through the appropriate education and training parameters.

EDUCATION & EXPERIENCE:

• Certified Professional Coder (CPC) certification, or, graduate from a school of nursing (LPN or RN), required
  • If candidate is a Nurse, without the coding certification, then CPC certification (through the AAPC) must be obtained within 6 months of hire
• Minimum of two (2) years of experience, preferred
• Knowledge of ICD-10, CPT, and HCPCs codes, required
• Knowledge of billing and prior history working with denials for a variety of payors, required
• Must have a thorough knowledge of anatomy and medical terminology, required

QUALIFICATIONS:

• Strong discretion and ability to handle confidential information
• Composure in fast‑paced, high‑pressure environments
• Willingness and ability to learn new technologies
• Dependable, punctual, and highly detail‑oriented
• Strong multitasking and independent‑work capabilities
• Excellent written and verbal communication skills
• Accurate documentation skills
• Ability to follow established workflows consistently
• Must be proficient in all Microsoft Office applications, including Outlook, Teams, Word, Excel, and PowerPoint

WORK SCHEDULE:

Monday - Friday, 6:00AM - 3:00PM or 8:00AM - 5:00PM. (Must work on site for 3-6 months of training. Once consistently demonstrating the ability to code independently, with a high degree of accuracy, consideration for a transition to a remote position is possible)