Healthcare Compliance Auditor

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Review Medical Charts: Conduct thorough audits of patient medical charts to ensure accurate documentation and coding.
Verify Compliance: Ensure that medical records comply with healthcare regulations and standards, such as those set by the Joint Commission, Medicare, and Medicaid.
Identify Discrepancies: Spot and report any discrepancies or inconsistencies in medical records.
Prepare Reports: Generate detailed audit reports highlighting deficiencies and recommending corrective actions

Implement Health Information Systems: Use various technologies to manage patient data, including test results, medical histories, and treatment plans.
Compliance and Audits: Conduct audits to ensure data handling meets federal, state, and local guidelines, and suggest improvements if necessary.
Data Analysis: Track information to detect trends or patterns, and provide recommendations based on data analysis.
Review and Analyze Records: Examine medical records for accuracy, completeness, and compliance with healthcare regulations.
Verify Documentation: Ensure all required documentation is present and correctly coded.
Identify Issues: Spot potential non-compliance issues and inconsistencies in records.
Prepare Reports: Create detailed reports of audit findings and recommend corrective actions.
Maintain Confidentiality: Ensure the confidentiality of patient information at all times.
Qualifications:
Certifications: Registered Health Information technician (RHIT), Certified Documentation Improvement Practitioner (CDIP)
Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification is often preferred.
Experience: Proven experience as a Medical Records Auditor or in a similar role.
Skills: Strong understanding of substance abuse and mental health terminology, ASAM Dimensions and ASAM criteria, KIPU-EMR, ICD-10, and CPT codes; excellent analytical and problem-solving skills; attention to detail; and the ability to maintain confidentiality