Performs chart audits and formulates recommendations based upon the audit findings and communicates ... Auditing experience for Pro-Fee (providers) services with a focus on CPT as well as ICD-10-CM
Performs chart audits and formulates recommendations based upon the audit findings and communicates ... Auditing experience for Pro-Fee (providers) services with a focus on CPT as well as ICD-10-CM
Quality Compliance Specialists
Salem, OR · Remote
$21.82 - $42.55/hr
Specialist, Quality Interventions/QI Compliance (Remote) Application Deadline: Open Until Filled ... Operational knowledge and experience with Excel and Visio (flow chart equivalent). Preferred ...
Quality Compliance Specialists
Salem, OR · Remote
$21.82 - $42.55/hr
Specialist, Quality Interventions/QI Compliance (Remote) Application Deadline: Open Until Filled ... Operational knowledge and experience with Excel and Visio (flow chart equivalent). Preferred ...
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... chart notes, reports, and medication profiles; communicate information and determinations to ... with auditing and investigations of medication-related claims, cases, and providers to identify ...
Pharmacy Services Technician
Beaverton, OR · Remote
$19.20 - $34.90/hr
... chart notes, reports, and medication profiles; communicate information and determinations to ... with auditing and investigations of medication-related claims, cases, and providers to identify ...
Pharmacy Services Technician
Salem, OR · Remote
$19.20 - $34.90/hr
... chart notes, reports, and medication profiles; communicate information and determinations to ... with auditing and investigations of medication-related claims, cases, and providers to identify ...
Pharmacy Services Technician
Salem, OR · Remote
$19.20 - $34.90/hr
... chart notes, reports, and medication profiles; communicate information and determinations to ... with auditing and investigations of medication-related claims, cases, and providers to identify ...
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Pharmacy Services Technician
Portland, OR · Remote
$19.20 - $34.90/hr
... chart notes, reports, and medication profiles; communicate information and determinations to ... with auditing and investigations of medication-related claims, cases, and providers to identify ...
Pharmacy Services Technician
Medford, OR · Remote
$19.20 - $34.90/hr
... chart notes, reports, and medication profiles; communicate information and determinations to ... with auditing and investigations of medication-related claims, cases, and providers to identify ...
Pharmacy Services Technician
Medford, OR · Remote
$19.20 - $34.90/hr
... chart notes, reports, and medication profiles; communicate information and determinations to ... with auditing and investigations of medication-related claims, cases, and providers to identify ...
Pharmacy Services Technician
Bend, OR · Remote
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... chart notes, reports, and medication profiles; communicate information and determinations to ... with auditing and investigations of medication-related claims, cases, and providers to identify ...
Pharmacy Services Technician
Bend, OR · Remote
$19.20 - $34.90/hr
... chart notes, reports, and medication profiles; communicate information and determinations to ... with auditing and investigations of medication-related claims, cases, and providers to identify ...
Remote Chart Auditing information
What type of auditor gets paid the most?
How to become a chart auditor?
What is the difference between Remote Chart Auditing vs Remote Medical Coding?
| Aspect | Remote Chart Auditing | Remote Medical Coding |
|---|---|---|
| Credentials | Certifications like CPC, CCS, or RHIT often preferred | Certifications like CPC, CCS, or RHIT required |
| Work Environment | Reviewing patient records remotely for accuracy and compliance | Assigning medical codes to diagnoses and procedures remotely |
| Industry Usage | Used in healthcare compliance, billing accuracy, and quality assurance | Used in billing, reimbursement, and insurance claims processing |
Remote Chart Auditing and Remote Medical Coding share similar credentials and work environments, often requiring CPC or CCS certifications. However, chart auditors focus on reviewing records for accuracy and compliance, while medical coders assign codes for billing purposes. Both roles are essential in healthcare revenue cycle management and are commonly performed remotely.
What is remote chart auditing?
What are some common challenges faced by professionals in remote chart auditing roles, and how can they be managed effectively?
What are the key skills and qualifications needed to thrive as a Remote Chart Auditor, and why are they important?
How much do chart auditors make?
Can you work remotely as an auditor?
$40/hr
Full-time
Medical, Retirement, PTO
Posted 22 days ago
Baylor Scott & White Health rating
7.4
Based on 755 frontline employees who took The Breakroom Quiz
261st of 890 rated healthcare providers
Job description
Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well.
Our Core Values are:
- We serve faithfully by doing what's right with a joyful heart.
- We never settle by constantly striving for better.
- We are in it together by supporting one another and those we serve.
- We make an impact by taking initiative and delivering exceptional experience.
Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include:
- Immediate eligibility for health and welfare benefits
- 401(k) savings plan with dollar-for-dollar match up to 5%
- Tuition Reimbursement
- PTO accrual beginning Day 1
Note: Benefits may vary based upon position type and/or level.
Job Summary- The Physician Compliance Auditor II audits and evaluates compliance activities to ensure documentation meets standards.
- Establishes audit scope, uses tools, compiles data, reports findings, and provides recommendations and training.
- Audits may include documentation and coding accuracy for outpatient, inpatient, and emergency services using ICD-10, CPT, HCPCS, and other guidelines.
Coding across multiple services lines
- E/M services
- Surgical procedures
- Diagnostic procedures
- Multiple Specialities including: Cardiology, Orthopedics, Family Medicine, Internal Medicine
Work Model & Salary
100% Remote
The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (highly experienced). The specific rate will depend upon the successful candidate's specific qualifications and prior experience.
Essential Functions of the Role- Performs chart audits and formulates recommendations based upon the audit findings and communicates them to the appropriate personnel.
- Implements coding reviews and creates work plans based on them. Ensures compliance issues and risks are identified and addressed.
- Develops curriculum for educating providers and staff on medical record documentation guidelines. Educates on diagnostic and procedural coding conventions and methodologies.
- Acts as a coding compliance and documentation resource and consultant for all providers, company administrators, and clinical staff.
- Assists in developing policies and procedures on coding compliance for clinics and the compliance department.
- Prepares and submits compliance reports to the compliance committee.
- Cross-trains other Physician Compliance Auditors in their area(s) of expertise to provide more depth and flexibility to the department.
- Advanced knowledge of CPT, ICD-10, and HCPCS.
- CHC, AHFI, or CFE certification preferred.
- Maintains working knowledge of Federal, State, private payer, and other applicable legal and regulatory requirements for the compliance department.
- Ability to research complex topics regarding compliance and coding efficiently and accurately.
- Able to explain compliance concerns and resolutions clearly and concisely. Comfortable discussing them with all organization members.
- Proficient in Word, Excel, and PowerPoint.
- Four years auditing experience.
We believe that all people should feel welcomed, valued and supported.
QUALIFICATIONS
- EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification
- EXPERIENCE - 4 Years of Experience
- Auditing experience for Pro-Fee (providers) services with a focus on CPT as well as ICD-10-CM
- Coding experience across multiple service lines
- E/M services
- Surgical procedures
- Diagnostic procedures
- Multiple Specialities including: Cardiology, Orthopedics, Family Medicine, Internal Medicine
CERTIFICATION/LICENSE/REGISTRATION
- Active coding certification: CPC (Verified through AAPC) or CCS-P (Verified through AHIMA) required
- Auditing experience for Pro-Fee (providers) services with a focus on CPT as well as ICD-10-CM
Cert Coding Spec Physician Bas (CCS-P), Cert Professional Coder (CPC), Cert Prof Coder Physician (CPC-P): Must have one of the following: Cert Coding Spec Physician based (CCS-P), Cert Professional Coder (CPC), or Cert Prof Coder Physician (CPC-P).
Employment Type: FULL_TIMEWhat Baylor Scott & White Health employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Baylor Scott White Health
Sourced by ZipRecruiter
Industry
Outpatient health care and health care and social assistance
Company size
10,000+ Employees
Headquarters location
Dallas, TX, US