Medical Auditor

Medical Auditor

Employment Status: Full time

Shift: Day (United States of America)

Facility: Remote - VA CP07 Carilion Medical Center.

Requisition Number: R159300 Medical Auditor (Open)

How You'll Help Transform Healthcare

The Medical Auditor conducts chart audits by reviewing documentation in the patient's record, including orders, medications, supplies, and procedures performed, and ensures all applicable charges are accurate and appropriately supported. Makes adjustments to the patient's account, adding or removing charges as supported by documentation. Provides education to individuals and groups to improve charging accuracy and documentation practices.

The Medical Auditor

Performs chart audits in a timely, accurate, and thorough manner.

• Reviews patient documentation, identifies charging discrepancies, and makes appropriate account adjustments.
• Records charging weaknesses and communicates deficiencies and trends to departmental leadership.
• Contacts staff to obtain missing or additional documentation required to support billed charges.
• Submits analysis of audit results and provides recommendations to management.
• Conducts inservices and education sessions to improve staff understanding of charge accuracy and required documentation.
• Attends professional development seminars and inservices to remain current in clinical procedures and medical documentation standards.
• Keeps updated on allowable procedures and billing requirements in accordance with Carilion Clinic policies.
• Reports potential billing or documentation compliance concerns to appropriate leadership.

What We Require

Education: Associate's degree is required; 2 years of relevant experience may be considered in lieu of a degree. Clinical or coding certification is preferred.

Experience: A minimum of 2 years of experience in a hospital, clinic/physician ambulatory site, or in billing, auditing, or compliance is required.

Licensure/Certification: None required.

Life Support: Not applicable.

Other Minimum Qualifications: Must possess excellent communication and interpersonal skills to interact effectively with staff and department leaders. Must demonstrate strong organizational and time management skills and be self-motivated with the ability to work independently. Proficiency with Microsoft Office applications, including Word and Excel, is required. Must be able to maintain confidentiality and handle sensitive information appropriately.

This job description is only meant to be a representative summary of the major responsibilities and accountabilities performed by the incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.

Recruiter: KATHRYN LUSHER

Recruiter Email: [email protected]

For more information, contact the HR Service Center at 1-800-599-2537.

Carilion Clinic is an Equal Opportunity Employer: We provide equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, national origin, age (40 or older), disability, genetic information, or veterans status. Carilion is a Drug‑Free Workplace. For more information or for individuals with disabilities needing special assistance with our online application process contact Carilion HR Service Center at 800-599-2537, 8:00 a.m. to 4:30 p.m., Monday through Friday.

For more information on E-Verify:

Benefits, Pay and Well‑being at Carilion Clinic

Carilion understands the importance of prioritizing your well‑being to help you develop and thrive. That's why we offer a well‑rounded benefits package, and many perks and well‑being resources to help you live a happy, healthy life - at work and when you're away.

When you make your tomorrow with us, we'll enhance your potential to realize the best in yourself. Below are benefits available to you when you join Carilion:

• Comprehensive Medical, Dental, & Vision Benefits
• Employer Funded Pension Plan, vested after five years (Voluntary 403B)
• Paid Time Off (accrued from day one)
• Onsite fitness studios and discounts to our Carilion Wellness centers
• Access to our health and wellness app, Virgin Pulse
• Discounts on childcare
• Continued education and training

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