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Provider Partners · 1 month ago

Clinical Documentation Auditor (Part Time)

United States

Part-time

Remote

Mid Level

Provider Partners is seeking a Clinical Documentation Auditor who plays a crucial role in ensuring the quality and integrity of medical records. The auditor will monitor and report on documentation quality, ensuring compliance with required standards and providing feedback to improve patient care outcomes.

Assisted LivingHealth CareNursing and Residential Care

Responsibilities

Strong understanding of medical terminology, disease process and Provider Partners Model of Care documentation requirements

Strong knowledge of HIPPA regulations and other healthcare regulatory bodies

Knowledgeable in all areas of documentation requirements

Knowledge of ICD-10 coding and HCC documentation

Audits a quantity of charts for each provider determined by Clinical Leadership

Assists in developing tools to summarize findings and report to providers direct reports

Develops tools and process to maintain records and track audit completion

Attends required meetings and participates in adhoc committees as needed

Maintains knowledge of all health plan benefits, network, CMS, regulations, health plan policies

Excellent written and oral communication skills

Experience and ability to use Microsoft Office products

Qualification

ICD-10 codingHIPAA regulationsMedical terminologyElectronic health recordsMicrosoft OfficeCommunication skillsOrganizational skillsInterpersonal skillsTime management

Required

Registered Nurse

Strong understanding of medical terminology, disease process and Provider Partners Model of Care documentation requirements

Strong knowledge of HIPPA regulations and other healthcare regulatory bodies

Knowledgeable in all areas of documentation requirements

Knowledge of ICD-10 coding and HCC documentation

Audits a quantity of charts for each provider determined by Clinical Leadership

Assists in developing tools to summarize findings and report to providers direct reports

Develops tools and process to maintain records and track audit completion

Attends required meetings and participates in adhoc committees as needed

Maintains knowledge of all health plan benefits, network, CMS, regulations, health plan policies

Excellent written and oral communication skills

Experience and ability to use Microsoft Office products

Previous experience in a healthcare setting, preferably in an administrative or coordination role

Strong computer skills, including proficiency with electronic health record (EHR) systems and Microsoft Office applications

Excellent communication and interpersonal skills, with the ability to interact effectively with members, healthcare professionals, and administrative staff

Detail-oriented with strong organizational and time management skills

Ability to work independently and collaboratively in a team environment, prioritizing tasks and managing workload effectively