Senior Auditor

AAPC•Salt Lake City, UT

2d•Remote

About The Position

The Sr. Auditor will report to the Manager of AAPC Services with a direct line of communication to Project Leads. This is a remote position. Responsibilities will include auditing medical records to validate clinical documentation for various services, diagnoses, and requirements. The auditor will ensure deliverables meet client-specific requirements, research regulatory guidelines, and prepare audit summary findings with recommendations. Maintaining production and quality standards, department audit standards, and supporting team goals are key. The role also involves continuous learning, contributing to process improvements, and preparing reports for management review.

Requirements

Minimum 5 years of auditing experience
Extensive auditing in multiple specialties with strong experience in behavioral health, OBGYN, and ophthalmology.
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 – to be completed within a year of hire

Nice To Haves

Humble - Learns, adapts, and improves relentlessly. Seeks feedback without insecurity and implements coaching. Recognizes others' contributions gratefully. Approaches work and relationships with an abundance mentality. Places the needs of others above self.
Supportive - Empowers and uplifts others. Listen actively and respond with empathy and understanding. Prioritizes well-being and growth of team members and customers ahead of own interest. Faces challenges together, believing in collective strength and unity.
Driven - Self-starts and stays highly motivated to achieve ambitious goals. Shares contagious energy and enthusiasm liberally. Takes initiative without always being directed. Demonstrates confidence in decision-making and effectively balances autonomy and authority with accountability.
Transparent - Aligned with a culture of openness, integrity, and trustworthiness. Follows through on commitments to internal and external parties. Maintains strict accountability and values the trust placed in them by others.
Innovative - Entrepreneurial spirit with a scrappy mentality. Dreams big, sees opportunity, pursues full potential, and finds ways to accomplish the impossible. Rolls up sleeves and does real work. Works quickly, intelligently, and flexibly.

Responsibilities

Audit medical records to validate clinical documentation to support evaluation and management services, ancillary services, procedures, diagnoses, and clinical documentation requirements and gaps, missed opportunities, and meet quality and production requirement standards.
Review project guidelines to ensure deliverables are on-time and meeting client specific requirements.
Research regulatory guidelines for supporting documentation when necessary.
Prepare audit summary findings, provide detailed comments related to the audit findings and make recommendations.
Consistently maintain production standards for job role, and quality metrics of 95% or greater.
Responsible for maintaining department audit standards, clinical documentation standards, protocols and guidelines.
Support team with department key performance indicators and goals (SLAs).
Embrace workforce transformation by engaging in continuous knowledge expansion across additional functional areas and/or upskilling (learning new skills) to support evolving organizational and client needs.
Contribute to organizational optimization by collaborating to identify opportunities for process improvement and supporting 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.