Senior Medical Documentation Auditor - Part Time/Per Diem/Hybrid
About The Position
The Senior Medical Documentation Auditor works under the direction of the Associate Director of Compliance Programs to support the UNLV Health Compliance Program. The auditor designs and executes medical record audits, reviews analytical data to identify organizational risks and coding trends, prepares detailed reports, and provides education to clinicians based on audit findings. The role also researches and responds to documentation inquiries, supports corrective actions, and helps mitigate organizational liability. The position serves as a compliance liaison and subject matter expert on medical record documentation requirements. It supports internal and external audits and the development of a compliance program, including regular audits, feedback mechanisms, and policy updates. This is a hybrid position, with travel between local facilities and offices as needed for meetings and training. The posting describes it as part time/per diem and notes that benefit packages vary by employment status.
Requirements
- At least five years of experience in healthcare compliance, medical coding, and/or a related field, or 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 (AAPC, AHIMA, or equivalent) or Certified in Healthcare Compliance (CHC) or equivalent.
- Advanced knowledge and experience conducting medical record audits and interpreting and applying federal and state regulations and coding and billing requirements.
- Advanced knowledge and experience communicating audit results to medical and administrative professionals.
- Advanced knowledge of coding for multispecialty clinics.
- Advanced experience training medical and administrative professionals on coding requirements outlined by CMS.
- Advanced knowledge of HIPAA and other information privacy and security requirements.
- Advanced knowledge of medical diagnostic and procedural terminology.
- Advanced knowledge of outpatient coding practices in clinical and inpatient settings.
- Advanced knowledge of compliance and regulatory requirements, including outpatient CMS regulations.
- Ability to provide constructive and sensitive feedback to providers and medical center leadership regarding 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.
- Ability to work independently and/or with a team on special projects.
- 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 work in a fast-paced environment.
- Ability to maintain confidentiality and pay close attention to detail.
- Ability to travel between local facilities and offices as needed for meetings and training.
- Legal authorization to work in the United States; UNLV Health 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 for compliance with 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 supporting documentation describing deficiencies and recommendations for improvement or correction.
- 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 medical-record 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 and maintain up-to-date information on standards set by Medicare, Medicaid, and other entities.
- 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 that includes 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 on 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.
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What This Job Offers
Job Type
Part-time
Career Level
Senior
Education Level
High school or GED
