MMA- Dental Auditor and Administrative Assistant

Group SSI•Gaithersburg, MD

9d•Remote

About The Position

This full-time, remote position combines dental auditing with administrative support for healthcare coding and billing services. The Dental Auditor reviews patient charts, clinical notes, dental records, X-rays, treatment plans, and claims to confirm that CDT, ICD-10-CM, and sometimes CPT/HCPCS coding is accurate, clinically supported, properly documented, and compliant. The role identifies billing errors and trends, prepares audit findings and recommendations, supports corrective actions and training, and safeguards protected health information. The Administrative Assistant supports McManis clients, consultants, and subcontractors by gathering report data, retrieving and organizing medical records for audits, maintaining the Chargemaster website, coordinating coding worksheet updates, establishing secure client access, and providing ongoing support. Duties include assisting with quarterly client reports, running and revising report data, conducting quality assurance on coding worksheets, tracking coding changes, and preparing and maintaining client invoices and related spreadsheets. The position follows applicable HIPAA requirements, client agreements, and company policies. The work is remote, with a Monday–Friday workweek. Physical requirements include sitting or standing for extended periods, occasional lifting, and performing repetitive tasks in a controlled setting. Essential functions may be performed with or without reasonable accommodation.

Requirements

High school diploma or equivalent.
Certified coder with at least five years of active dental coding and/or auditing experience.
Five years of experience educating and training healthcare providers regarding coding and documentation guidelines.
Working knowledge of healthcare compliance policies, practices, and systems.
Skill in charge capture methodologies and understanding of challenges providers face in accurately capturing appropriate charges.
Strong written and verbal communication skills.
Ability to manage work assignments with minimal supervision.
Proficiency with Microsoft Word, PowerPoint, and Microsoft Office products.
Excellent analytical and organizational skills.
Ability to manage multiple projects, meet deadlines, and work independently.
Detail-oriented.
Ability to interpret procedure manuals, correspondence, and instructions.
Ability to prepare clear audit summaries, track coding discrepancies, and perform quality assurance checks.
Ability to sit or stand for extended periods, occasionally lift items, and perform repetitive work functions in a controlled setting.
Ability to perform essential job functions with or without reasonable accommodation.

Nice To Haves

Familiarity with IHS RPMS/EHR and Chargemaster systems.

Responsibilities

Audit dental records, X-rays, treatment plans, patient charts, clinical notes, and claims to verify that billed procedures are clinically supported and properly documented.
Review coding for accuracy in CDT, ICD-10-CM, and sometimes CPT/HCPCS.
Ensure adherence to commercial dental plan, Medicaid, Medicare, and regulatory guidelines.
Identify recurring billing errors, including unbundling, upcoding, and under-coding, and investigate providers or departments with high error rates.
Prepare summaries of audit findings and recommendations.
Provide training when needed.
Review audit findings for trends, recommend corrective actions, and provide follow-up documentation as directed by consultants.
Protect patient information and communicate audit findings only through authorized, secure channels.
Use secure electronic health record systems, VPN tools, and client portals; handle protected health information confidentially and follow applicable privacy and information security procedures.
Set up clients on the Chargemaster webpage, educate them on its use, and send password setup information.
Assist with annual coding updates and upload revised coding worksheets to the Chargemaster webpage.
Work with consultants to obtain raw report data and files via VPN for quarterly client reports.
Provide consultants and subcontractors with tools needed to conduct ongoing audits; pull and organize records for audits.
Run report data for consultants to analyze and make revisions based on consultant input.
Contact clients annually for coding worksheet updates, confirm current worksheets, obtain order forms and revision requests, and upload worksheets for consultant review.
Perform status lookups, update headers and footers, complete quality assurance checks, flag error codes, and track transaction codes on coding worksheets.
Send revised coding worksheets to clients by email and upload them to the Chargemaster webpage.
Prepare monthly invoices for client services.
Maintain spreadsheets of client charges, payments received, and estimated billable charges.
Maintain supporting documentation for invoices and escalate discrepancies for review.
Follow applicable HIPAA requirements, client agreements, and company policies.
Perform other related duties consistent with business needs.
Sit or stand for extended periods, occasionally lift items, and perform repetitive tasks in a controlled setting.