Multi-Specialty Auditor

AAPC•Salt Lake City, UT

5d•Remote

About The Position

The Multi-Specialty Auditor will report to the Manager of AAPC Services with a direct line of communication to Project Leads. This is a remote contract position. Responsibilities will include auditing medical records across multiple specialties to validate clinical documentation supporting evaluation and management services, ancillary services, procedures, diagnoses, and specialty-specific documentation requirements. The role involves identifying gaps and missed opportunities while meeting quality and production standards, and reviewing project guidelines to ensure deliverables are on-time and meet client-specific requirements. The auditor will research regulatory, payer, and specialty-specific guidelines, prepare audit summary findings with detailed comments and recommendations, and maintain production standards and quality metrics of 95% or greater. The position is responsible for maintaining department audit standards, advanced clinical documentation standards, protocols, and specialty-specific guidelines, and supporting team key performance indicators and goals (SLAs). Embracing workforce transformation involves continuous knowledge expansion and upskilling to support evolving organizational and client needs. Collaboration to identify opportunities for process improvement and supporting continuous enhancements to workflows and operations is also expected. The role includes preparing oral and/or written reports of audit activity and meeting with the Manager to review individual performance, mentoring, and succession planning.

Requirements

Minimum 5 years of auditing experience
Extensive auditing experience across multiple specialties, including the ability to interpret complex documentation and coding scenarios
Extensive knowledge of AMA, OIG, CMS and other national coding and compliance guidelines
Excellent written and verbal communication skills
Ability to “own” an entire project
Detail oriented and deadline driven attitude
Ability to think critically and determine the best method for completing tasks
Strong computer skills (Excel, Word, and internet)
Ability to multitask and keep a sense of urgency
Excellent customer service skills
Strong time management, organization skills, and work ethic
Requires long periods of time sitting and using keyboard and mouse.
CPC® Certification
RHIT or CPMATM Certification

Nice To Haves

Specialty Credentials preferred

Responsibilities

Audit medical records across multiple specialties to validate clinical documentation supporting evaluation and management services, ancillary services, procedures, diagnoses, and specialty-specific documentation requirements; identify gaps and missed opportunities while meeting quality and production standards.
Review project guidelines to ensure deliverables are on-time and meet client-specific requirements.
Research regulatory, payer, and specialty-specific guidelines for supporting documentation when necessary.
Prepare audit summary findings, provide detailed specialty-specific comments related to audit findings, and make recommendations that support documentation improvement and coding accuracy.
Consistently maintain production standards for job role, and quality metrics of 95% or greater.
Maintain department audit standards, advanced clinical documentation standards, protocols, and specialty-specific guidelines.
Support team with department key performance indicators and goals (SLAs).
Engage in continuous knowledge expansion across additional functional areas and/or upskilling to support evolving organizational and client needs.
Collaborate to identify opportunities for process improvement and support continuous enhancements to workflows and operations that promote quality and efficiency.
Prepare oral and/or written reports of audit activity to Manager meeting with them on a regular basis to review individual performance, mentoring, and succession planning.