Audit Support Specialist

Excelsia Injury Care
Onsite

About The Position

Excelsia Injury Care is seeking an Audit Support Specialist – Clinical Documentation & Quality to support the organization’s clinical audit, compliance, and documentation integrity initiatives across a multi-state outpatient network. This role performs structured, criteria-driven chart reviews to identify the presence, completeness, and alignment of key clinical documentation elements in accordance with internal protocols, regulatory expectations, and organizational quality standards. This position functions as a non-coding audit support role and works under the direction of certified coding professionals and clinical leadership. The Audit Support Specialist plays a critical role in preparing documentation for secondary review, supporting audit workflows, and contributing to the organization’s broader quality assurance and utilization governance initiatives.

Requirements

  • Detail orientation and accuracy
  • Process adherence and consistency
  • Analytical thinking within structured frameworks
  • Accountability and reliability
  • Professional discretion and confidentiality (HIPAA compliance)
  • Proficiency with computer systems and ability to navigate electronic health records
  • Strong written and verbal communication skills
  • Ability to manage multiple tasks and meet deadlines in a fast-paced environment
  • High School Diploma or GED required

Nice To Haves

  • Associates Degree
  • Experience with data entry, quality assurance, or review-based roles
  • Prior experience in healthcare, medical records, or administrative support
  • Exposure to clinical documentation, compliance, or audit processes

Responsibilities

  • Perform standardized chart reviews using internal audit tools across designated service lines (e.g., MRI, EMG/NCV, discharge, and therapeutic modalities such as decompression)
  • Identify the presence or absence of required documentation elements based on established audit criteria and protocols
  • Extract and organize relevant clinical information for secondary review by certified coders and clinical reviewers
  • Apply structured audit checklists and scoring methodologies consistently and accurately
  • Evaluate documentation for completeness, internal consistency, and alignment with clinical protocols
  • Flag missing, incomplete, or potentially non-compliant documentation elements for escalation
  • Support adherence to documentation standards related to medical necessity, treatment progression, and plan of care changes
  • Assist in identifying trends or recurring documentation gaps for internal reporting
  • Pull and prepare charts from electronic health record (EHR) systems in accordance with audit schedules and sampling methodologies
  • Maintain accurate audit logs, tracking tools, and data entry systems
  • Ensure timely completion of assigned audit volumes in alignment with monthly and quarterly review cycles
  • Support audit data aggregation and reporting processes as directed
  • Work closely with certified coding professionals, compliance personnel, and clinical leadership
  • Participate in audit calibration and training sessions to ensure consistency and reliability of reviews
  • Support Quality Council initiatives and documentation governance efforts as needed
  • Maintain clear and professional communication with internal stakeholders

Benefits

  • Medical, Dental and Vision plans through CareFirst with PPO And HSA options available the first of the month after your hire date.
  • PTO that is accrued starting on your first day of work
  • 8 company-recognized paid holidays plus a floating holiday
  • 5 days of sick leave each calendar year
  • Employee Assistance Program
  • Earned Wage Access
  • Employee Assistance Fund
  • Discounts on shopping and travel perks through WorkingAdvantage
  • 401(k) retirement plan with employer match
  • Paid training opportunities
  • Education Assistance Program
  • Employee Referral Bonus Program
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