Chart Auditor - Chart Audit

The Employment Team at Hattiesburg Clinic, P.A. • Hattiesburg, MS

2d • Hybrid

About The Position

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.

Requirements

• Certified Professional Coder (CPC) certification or Registered Nurse with clinical experience in both hospital and office nursing.
• Knowledge of ICD-10, CPT, and HCPCs codes.
• Thorough knowledge of anatomy and medical terminology.
• Strong communication skills, both oral and written.
• Knowledge and experience in Medicare rules and regulations, coding and billing principles.
• Must be motivated and possess strong communication, problem solving, and capable of working effectively with physicians and non-physicians.
• Must have strong oral presentation skills as group presentations may be required.
• Must possess strong organizational skills, as well as the ability to complete multiple tasks within a designated time frame.
• 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.

Nice To Haves

• If candidate is a Registered Nurse, without coding certification, then CPC certification through the AAPC must be obtained within 6 months of hire.
• The Certified Evaluation and Management Coder (CEMC) certification must also be obtained within one year of hire for a Registered Nurse.

Responsibilities

• Reviewing medical records for accuracy, quality assurance, and billing purposes.
• Assessing medical records to determine if E/M, procedures, and HCC/ICD-10 codes are within health care policies and standards.
• Performing internal audits.
• Staying up to date on current policy and procedural guidelines.
• Ensuring proper coding and policy guidelines are followed.
• Promoting and encouraging compliance through education and training.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 501-1,000 employees