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Remote Auditor Job in Hollywood, South Carolina

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Job Title: Remote Auditor

Job Location:Remote
Specialties:Primary Care, OB/Gyn, Family Medicine, Pediatrics, Dental, Federally Qualified Health Center, Rural Health Center
Required Certifications:CPC,CPMA
Required Experience:3 to 4 years
Preferred Experience:5 to 7 years
Location: Hollywood 29449, SC, US
* Note: This listing is for a remote position
Date Posted:8/25/2021

We are currently seeking driven and open to growth and development individuals! If you are looking for an employer that supports you in reaching your maximum potential – you’ll feel right at home.


JOB SUMMARY: CDI/Medical Record Auditor will be responsible for assisting/ conducting audits of medical records, coding and billing to ensure the clinical information within the medical record is accurate, complete, and compliant. Create summary reports of findings to educate physicians, non-physicians, clinicians, nurses, and other staff to facilitate documentation within the medical record to reflect the most accurate severity of illness, expected risk of mortality, and level of service rendered. The CDI/ auditor will assist in putting together appeals/ rebuttals for external third party auditing sources. Knowledge of pertinent Federal, State and local laws, codes, and regulations.

CDI/Medical Record Auditor
1. Interprets progress notes, operative reports, discharge summaries, and other documentation within the medical record to identify health-related patterns and assists in addressing patient health problems with the physician.
2. Ensures all clinical documentation is accurate and compliant with federal laws in terms of composition.
3. Applies knowledge of medical terminology and medical procedures to properly evaluate clinical documents.
4. Demonstrates responsibility for professional growth and development by actively learning and participating in the continuing education provided. Maintains competence in documentation requirements, coding guidelines, and quality measures.
5. Reviews all physician documentation to ensure compliance with the third party and regulatory guidelines.
6. Performs duties and job functions in accordance with the policies and procedures established for the department.
7. Reports to work, meetings and professional obligations on time.
8. Participates in administrative staff meetings and attends other meetings and seminars.
9. Takes continuing education courses and stays up-to-date on changes in laws governing clinical documentation.
10. Assists in evaluation of reports, decisions and results of department in relation to established goals.
11. Recommends new approaches, policies and procedures to influence continuous improvement in the departments efficiency and services provided.
12. Takes ownership of special projects, researches data and follows through with detail action plans.
13. Actively participates in problem identification and resolution and coordinates resolution between the appropriate parties.
14. Compiles data into reports for the manager or committee including and analysis of trends and patterns.
15. Fulfills internal and external requests for outcome data, including developing special reports.
16. Participates in presentations to educate staff on outcomes and plans of correction.
17. Performs other related duties as required and assigned.


 High School Diploma or GED, Certified Professional Coding Certificate or Certified Professional Auditing Certificate

Experience: Minimum of 3 years experience with coding, billing, and medical documentation. Working knowledge of CPT, ICD-10-CM, ICD-10-PCS, and HCPCS.

Equipment/Technology: Knowledge of Excel, Microsoft Word, Medical Practice management software.

Language/Communication: Excellent oral and written communication skills. Ability to read and interpret documents such as physician orders, operative reports, and medical records reports.

Mathematical Skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
Mental Capabilities: Can concentrate for long periods of time in order to complete assigned tasks with a better than average attention span in order to listen, read and remember verbal and written instructions.

Interpersonal: Ability to work well with others and follow directions

Performance: Must be able to handle conflict issues with both staff and providers. Hold oneself to high standards and professionalism while performing audits and providing education. Be organized; able to set priorities and meet deadlines. Must be able to work in a team environment and exhibit flexibility and enthusiasm in learning new information and developing new skills quickly.


MediVise is an independently owned billing service and consulting firm that offers billing, coding, payer credentialing, and provider training to private practices and community health centers. MediVise has expertise in practice management, revenue cycle management, managed care contract negotiations, clinical documentation improvement, management consulting services, and EHR software implementation services. MediVise is able to serve a wide range of clients and we take pride in giving each one a personalized experience. 


If you are looking for a challenging and rewarding career with growth opportunities, apply today to join our team working to support and improve the experiences of community health center patients and clinics. MediVise supports an adaptable, flexible, work-life balance environment.

Resume submissions accepted at alesia@themedivise.com. No calls or website submissions accepted.


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