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Remote Chart Audit Jobs in Virginia (NOW HIRING)

Riverside

Compliance Analyst RMG

Newport, VA · Remote

$57K - $78K/yr

... remote work eligible for candidates residing in the following states: FL, GA, ID, KS, KY, MS, NC ... perform clinical chart reviews, risk adjustment audits, payor audits, coding analysis, charge ...

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Remote Chart Audit information

What are some typical challenges faced by professionals in remote chart audit roles, and how can they be managed?

Remote chart auditors often encounter challenges such as navigating varying electronic health record (EHR) systems, ensuring data privacy when accessing sensitive information from home, and efficiently managing communication with on-site staff. Staying organized and maintaining a secure, HIPAA-compliant work environment are essential. Regularly updating technical skills and proactively reaching out to team members for clarifications can help overcome these hurdles and foster effective collaboration.

What are remote chart audits?

Remote chart audits are the process of reviewing and evaluating patient medical records electronically from a location outside of the healthcare facility. The purpose is to ensure accuracy, compliance with regulations, and completeness of documentation for billing, coding, and quality assessment. Professionals performing remote chart audits typically access electronic health records (EHR) securely to check for errors, missing information, or discrepancies. This role is crucial in maintaining healthcare standards, improving patient care, and preventing fraud. Remote chart audits allow for flexibility, as the work can be done from home or any location with secure internet access.

What are the key skills and qualifications needed to thrive as a Remote Chart Auditor, and why are they important?

To thrive as a Remote Chart Auditor, you need expertise in medical coding, clinical documentation review, and a solid understanding of healthcare regulations, often supported by credentials like RHIA, RHIT, or CPC. Familiarity with electronic health record (EHR) systems, audit software, and coding tools such as ICD-10 and CPT is essential. Strong attention to detail, analytical thinking, and effective written communication are vital soft skills for ensuring accuracy and clarity in audit findings. These skills and qualifications are crucial for maintaining compliance, ensuring accurate billing, and supporting healthcare quality initiatives.

What is the difference between Remote Chart Audit vs Remote Medical Biller?

AspectRemote Chart AuditRemote Medical Biller
CredentialsKnowledge of medical records, coding, and complianceMedical billing certifications, CPT/ICD coding knowledge
Work EnvironmentReviewing medical charts remotely, analyzing documentationProcessing insurance claims, billing patients remotely
Industry UsageHealthcare, medical records managementHealthcare, insurance companies, billing services

Remote Chart Audits and Remote Medical Billers both work in healthcare but focus on different tasks. Chart auditors review medical records for accuracy and compliance, while billers handle insurance claims and billing processes. Both roles require healthcare knowledge and often overlap in healthcare settings, but their primary responsibilities differ.

What are the most commonly searched types of Chart Audit jobs in Virginia? The most popular types of Chart Audit jobs in Virginia are:
What are popular job titles related to Remote Chart Audit jobs in Virginia? For Remote Chart Audit jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Remote Chart Audit jobs in Virginia look for? The top searched job categories for Remote Chart Audit jobs in Virginia are:
What cities in Virginia are hiring for Remote Chart Audit jobs? Cities in Virginia with the most Remote Chart Audit job openings:
Remote Chart Audit jobs near you
Sr. Medical Auditor-REMOTE

Sr. Medical Auditor-REMOTE

The US Oncology Network

Norfolk, VA • On-site, Remote

$28 - $38/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 13 days ago

US Oncology rating

7.4

Company rating: 7.4 out of 10

Based on 107 frontline employees who took The Breakroom Quiz

265th of 885 rated healthcare providers

Job description

Overview
Employment Type: Full Time
On-Site Position
Benefits: M/D/V, Life Ins., 401(k), PTO, Paid Holidays
Norfolk, Virginia
Pay Range: $28-$38 Hourly Based on experience
JOB SCOPE: With general supervision of the State Reimbursement Manager, performs complete medical record chart and coding audits for medical and radiation oncology physicians, per The US Oncology Network's established guidelines. Supports and adheres to The US Oncology Compliance Program, to include the Code of Ethics and Business Standards.
The US Oncology Network is a thriving organization that fosters forward-thinking, advancement opportunities, and an inspired work environment. We continuously look for top talent who will continue to propel our organization in the right direction and celebrate new successes! Come join our team in the fight against cancer!
About US Oncology
The US Oncology Network is one of the nation's largest networks of community-based oncology physicians dedicated to advancing cancer care in America. The US Oncology Network is supported by McKesson Corporation focused on empowering a vibrant and sustainable community patient care delivery system to advance the science, technology, and quality of care. For more information, visit www.usoncology.com. We extend an extremely competitive offering of benefits to employees, including Medical Health Care, Dental Care, Vision Plan, 401-K with a matching component, Life Insurance, Short-term and Long-term disability, and Wellness & Perks Programs.
Responsibilities
ESSENTIAL DUTIES AND RESPONSIBILITIES:
  • Performs paper and EMR chart audits for medical oncology physicians/providers in accordance with The US Oncology Network's requirements in order to ensure medical records are commensurate with captured charges and billing.
  • May use a variety of reports to accomplish tasks, such as AMA guidelines, Medicare LCD's, commercial payor billing guidelines, coding manuals and ASTRO/ACR guidelines.
  • All new providers will have an E & M audit within 90 days.
  • Prepares a spreadsheet of findings that details discrepancies and summarizes metrics.
  • Identifies trends that could be perceived as non-compliance with local and federal regulatory guidelines.
  • Recommends procedural improvements and training opportunities to management.
  • Provides written audit report to supervisor for review and approval.
  • Reviews approved audit findings with physicians and mid level providers to discuss recommendations and improvement opportunities; radiation audit technical findings will be forwarded to appropriate hospital contact.
  • Recommends and documents audit procedures, standard reports, and metrics in order to provide the appropriate information.
  • Maintains the confidentiality of medical information contained in each record.
  • Assists with other audits such as; hospital visits, consultations, and others as assigned.
  • Assists with The US Oncology Network's audit and compliance or Reimbursement audits such as providing records, audit reports, and standard operating procedure manuals.

Qualifications
MINIMUM QUALIFICATIONS:
  • High School diploma/ GED Required
  • CPC Required
  • Five (5) years of billing, coding, and medical records experience required.
  • Completion of required The US Oncology Network's Reimbursement tutorials as required by the Compliance Department required.
  • Must possess a broad knowledge of managed care and HMO policies and procedures and Medicare benefits.
  • Must possess a strong knowledge of current versions of ICD10, CPT4 and HCPCS.

PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is required to be present at the employee site during regularly scheduled business hours and regularly required to sit or stand and talk or hear. Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range.
WORK ENVIRONMENT: The work environment may include exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations and other conditions common to an oncology/hematology clinic environment. Work will involve in-person interaction with co-workers and management and/or clients. Work may require minimal travel by automobile to office sites.

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