Senior Medical Documentation Auditor - Part Time/Per Diem/Hybrid

UNLV Medicine • Las Vegas, NV

25d • Hybrid

About The Position

The Senior Medical Documentation Auditor supports the UNLV Health Compliance Program under the direction of the Associate Director of Compliance Programs. The role designs and conducts medical record audits, identifies organizational risks and coding trends through audits and data analysis, and prepares detailed reports with findings and recommendations. The auditor educates physicians and clinical staff on documentation, coverage, coding, and billing requirements; researches and responds to related inquiries; and helps implement corrective actions and compliance program improvements. This is a hybrid position. The posting describes the role as part-time/per diem/hybrid and notes that benefit packages vary by employment status. Candidates must be legally authorized to work in the United States; UNLV Health does not provide employment sponsorships or sponsorship transfers.

Requirements

• At least five years of experience in healthcare compliance, medical coding, and/or a related field; alternatively, at least eight years of experience in lieu of a bachelor’s degree.
• High school diploma or GED equivalency.
• Certified Professional Medical Auditor (CPMA) certification.
• At least one relevant industry certification: Certified Professional Coder (e.g., AAPC or AHIMA), or Certified in Healthcare Compliance (CHC) or equivalent.
• Advanced knowledge and experience conducting medical record audits and applying federal and state regulations and coding and billing requirements.
• Advanced ability to communicate audit results to medical and administrative professionals.
• Advanced knowledge of coding for multispecialty clinics and training professionals on CMS coding requirements.
• Advanced knowledge of HIPAA and other information privacy and security requirements.
• Advanced knowledge of medical diagnostic and procedural terminology, outpatient coding practices in clinical and inpatient settings, and compliance and regulatory requirements, including outpatient CMS regulations.
• Ability to provide constructive and sensitive feedback to providers and medical center leadership on coding, documentation, compliance guidelines, audit results, and risk areas.
• Ability to learn, comprehend, and assess complex administrative, clinical, and operational processes, workflows, and business arrangements to identify deficiencies, opportunities, and risks.
• Ability to receive constructive feedback professionally and work on projects independently and/or with a team.
• Strong critical thinking, problem-solving, and analytical skills.
• Proficiency in Microsoft Office, including Word, Outlook, Excel, and PowerPoint.
• Excellent verbal and written communication skills.
• Ability to work independently with minimal supervision and within a team environment.
• Ability to multitask and prioritize in a fast-paced environment, maintain confidentiality, and pay close attention to detail.
• Ability to travel between local facilities and offices as needed for meetings and training.
• Legally authorized to work in the United States; the employer does not provide employment sponsorships or sponsorship transfers.

Nice To Haves

• Bachelor’s degree in Business, Healthcare, and/or a related field.

Responsibilities

• Plan, develop, and execute audits, assessments, and investigations to evaluate medical records against documentation, coverage, coding, and billing guidelines.
• Develop and conduct education programs for physicians and clinical staff on documentation, coverage, coding, and billing guidelines.
• Prepare detailed audit reports and documentation supporting findings of deficiencies and recommendations for improvements or corrections.
• Ensure correct application of ICD-10, CPT, and HCPCS codes for diagnoses, treatments, procedures, and services.
• Implement corrective actions and educate physicians and clinical staff to improve medical documentation.
• Research and respond to documentation inquiries from providers, coders, and administrative staff.
• Act as a compliance liaison with faculty members and provide audit-related resources to providers and their staff.
• Serve as an institutional subject matter expert on medical record documentation requirements.
• Maintain up-to-date information on Medicare, Medicaid, and other entities’ medical documentation standards.
• Analyze audit data to track trends, identify recurring issues, and provide feedback to improve coding accuracy.
• Assist with internal and external audits and respond to documentation- and coding-related queries.
• Support development and implementation of a compliance program, including regular audits, feedback mechanisms, and policy updates.
• Assist with onboarding new physicians and provide ongoing education on coding standards.
• Complete other duties and special assignments as requested.

Benefits

• 12 full-day and 2 half-day paid holidays per year, starting with the first day of employment.
• 22 PTO days per year.
• 3% 401(k) contribution, even if the employee does not contribute, after 90 days.
• Medical, dental, and vision benefits beginning the first of the month following the start date; benefit packages vary by full-time, part-time, and per-diem status.

What This Job Offers

• Job Type: Part-time
• Career Level: Senior
• Education Level: High school or GED