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Remote Chart Auditing 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 ... Overview Primary responsibility is to independently perform clinical chart reviews, risk adjustment ...

Aprio

Senior Accounting Manager

Arlington, VA · On-site +1

$115K - $160K/yr

Partnering with client and relevant stakeholders to analyze and redesign chart of accounts ... Collaborate with internal and external partners supporting client needs, including auditors, tax ...

All JobsRemote Chart Auditing JobsRemote Chart Auditing Jobs in Virginia

Remote Chart Auditing information

What type of auditor gets paid the most?

In the field of remote chart auditing, senior auditors or auditors with specialized certifications and extensive experience tend to earn the highest salaries. Factors such as industry expertise, advanced training, and proficiency with auditing tools can also contribute to higher pay levels.

How to become a chart auditor?

To become a remote chart auditor, candidates typically need a background in healthcare, such as medical coding, billing, or health information management, along with knowledge of medical records and coding standards like ICD and CPT. Certification through organizations like AAPC or AHIMA can enhance job prospects, and strong attention to detail and computer skills are essential for reviewing and auditing medical charts remotely.

What is the difference between Remote Chart Auditing vs Remote Medical Coding?

AspectRemote Chart AuditingRemote Medical Coding
CredentialsCertifications like CPC, CCS, or RHIT often preferredCertifications like CPC, CCS, or RHIT required
Work EnvironmentReviewing patient records remotely for accuracy and complianceAssigning medical codes to diagnoses and procedures remotely
Industry UsageUsed in healthcare compliance, billing accuracy, and quality assuranceUsed 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?

Remote chart auditing is the process of reviewing and analyzing medical records and patient charts from a remote location, often using secure digital systems. Chart auditors typically check for accuracy, compliance with regulations, proper documentation, and adherence to coding standards. This ensures that healthcare providers maintain accurate records for billing, legal, and quality assurance purposes. Remote chart auditors may work for hospitals, insurance companies, or third-party auditing firms.

What are some common challenges faced by professionals in remote chart auditing roles, and how can they be managed effectively?

Remote chart auditors often encounter challenges such as limited access to on-site resources, varying documentation standards across healthcare providers, and the need to maintain data security. To manage these effectively, auditors should develop strong communication skills to clarify discrepancies with healthcare staff, stay updated on compliance regulations, and utilize secure, HIPAA-compliant software. Additionally, setting up a dedicated, distraction-free workspace and adhering to a structured review process can help maintain accuracy and productivity when working remotely.

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 in-depth knowledge of medical coding, billing practices, healthcare regulations (such as HIPAA), and a relevant credential like RHIA, RHIT, or CPC. Proficiency with electronic health record (EHR) systems, auditing software, and coding tools like ICD-10-CM and CPT is essential. Strong attention to detail, analytical thinking, and effective written communication set top performers apart in this role. These skills ensure accurate audits, regulatory compliance, and effective identification of documentation or coding errors, which are critical for healthcare organizations.

How much do chart auditors make?

Chart auditors typically earn between $40,000 and $70,000 annually, depending on experience, location, and employer. Many remote chart auditing roles offer flexible schedules and may require familiarity with electronic health records and coding standards.

Can you work remotely as an auditor?

Remote chart auditing is possible and increasingly common, especially with digital record-keeping and auditing tools. Many employers offer remote positions that require strong attention to detail, relevant certifications, and proficiency with auditing software. Flexibility in schedule and good communication skills are also important for remote auditors.
What are popular job titles related to Remote Chart Auditing jobs in Virginia? For Remote Chart Auditing jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Remote Chart Auditing jobs in Virginia look for? The top searched job categories for Remote Chart Auditing jobs in Virginia are:
What cities in Virginia are hiring for Remote Chart Auditing jobs? Cities in Virginia with the most Remote Chart Auditing job openings:
Remote Chart Auditing jobs near you

Compliance Analyst RMG

Riverside Health System Non-Providers

Newport, VA • Remote

$57K - $78K/yr

Full-time

Posted 6 days ago

Job description

Newport News, Virginia

Hiring Range

$57,100.00 - $78,550.00/Annual Actual pay is determined based on job-related factors such as relevant experience, education, credentials, skills, internal equity, and business needs.


FOR APPLICATION REVIEW - PROVIDE YOUR AAPC CERTIFICATION NUMBER ON YOUR APPLICATION OR RESUME

This position is remote work eligible for candidates residing in the following states: FL, GA, ID, KS, KY, MS, NC, OK, SC, SD, TN, VA.

Overview
Primary responsibility is to independently perform clinical chart reviews, risk adjustment audits, payor audits, coding analysis, charge/reimbursement analysis, medical records reviews, and educate provider personnel on coding methodologies that will result in improved accuracy by following RMG compliance standards for commercial and government payors. This position serves as subject matter expert to coordinate review and root cause analysis of coding follow-up/denial and audit work queues, coding denial volumes, and coding trends. Responsible for identifying and reporting obstacles, patterns, and variations as well as resolutions in a timely, clear and concise manner. Serves as an expert for all coding-related questions and is responsible for providing educational materials to answer questions from clinical/office managers, providers and other administrative personnel.
What you will do

  • Independently conducts Medical Record audits following official coding guidelines and interprets and applies Federal and State regulations, coding and billing requirements for Baseline, Annual, Post Education and Focused provider chart reviews. Analyzes provider coding and documentation to evaluate risks relating to future payor recovery audits. Uses expertise and discretion to apply necessary corrections to ensure compliance with payor rules and regulations with appropriate databases.
  • Demonstrates expertise and ensures that all Third Party Payor reviews are completed timely with all requested supporting documentation (e.g. Medical records). Researches payor rules (e.g. manuals, policies and other sources) for support and guidance. Pre-reviews files and materials and provides summary of findings so that issues can be shared with the department director. Works in alliance with RHS Internal Auditing. Reports and tracks necessary corrections to ensure compliance with payor rules and regulations with appropriate databases.
  • Analyzes coding related to 1) ensuring work queues are worked timely and accurately and reporting concerns to department managers, and/or Director, 2) identifying trends, 3) conducting root cause analysis of trends, and 4) developing action plans for corrective action. Makes recommendations to Manager and practices/departments, including Patient Accounting (CBO), Physicians and Contracting to resolve the denied claims and provide education to reduce future denials.
  • Audits both aggregate coded data and individual encounter data to independently determine opportunities for education, training and documentation improvement for both individual providers and RMG Coding team. Provides feedback and suggestions to providers/coders regarding coding accuracy. Identifies trends and opportunities for improvement in clinical documentation and reports this information to the Director.
  • Works with newly hired team members' orientation program to ensure understanding of office based payor regulations (ABN, HIPAA, Incident to/shared visits). Oversees the department's new team member and reports on evaluation results with any recommendations as needed. Assists with and/or provides suggestions for continuing education topics and issues for coding staff. Interacts with and educates coding staff in specialty topics. Develops and maintains all presentations and tracking logs.
  • Works collaboratively with both internal and other departments with assistance and guidance. Answers questions and solves complex coding problems which includes performing preliminary research on topics such as coverage determinations, coding guidelines or standards of care with an emphasis on improving efficiency.


Qualifications
Education

  • High School Diploma or GED, (Required)


Experience

  • 3-4 years Commercial and Government Billing/Coding/Collections (Required)
  • 1 year Medical Record Reviews (Required)


Licenses and Certifications

  • Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC) (Required) or
  • Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC) (Required) and
  • Certified Professional Medical Auditor (CPMA) - American Academy of Professional Coders (AAPC) or another AAPC recognized credential, or billing within 1 Year (Required)

To learn more about being a team member with Riverside Health System visit us at https://www.riversideonline.com/careers.

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