Clinical Auditor
Employment Information
Job Description
Clinical Auditor ensuring compliance and accuracy in patient documentation. Reviewing and training staff on coding standards while working remotely from home.
Responsibilities:
- Conduct internal audits of clinical documentation for accuracy and compliance with ICD-10/CPT coding.
- Review billing practices for Medicare, Aetna, BCBS, and other major payers.
- Identify discrepancies and provide recommendations to fix them.
- Educate and train providers and staff on documentation best practices.
- Stay ahead of changes in coding standards and payer requirements.
- Produce clear, concise audit reports for leadership.
- Work independently from your home, managing your own schedule and priorities.
Requirements:
- In depth background in a remote set-up of work similar to freelancing as an Independent Contractor (deep understanding on the pros & cons involved in this industry).
- Registered Nurse or Enrolled Nurse (preferred).
- Are highly experienced in ICD-10 and CPT coding and insurance billing.
- Know the ins and outs of Medicare, BCBS, Aetna, and other big players.
- Have a sharp eye for detail and love tracking down inconsistencies.
- Thrive working independently in a quiet, remote setting.
- Communicate clearly, tactfully, and effectively, whether in reports or training sessions.
- **Bonus Points If You:**
- Have experience in clinical auditing, compliance, or quality assurance.
- Are familiar with EHR systems and audit tools.
- Hold a relevant certification (like CHC or CHCA).
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