CLINICAL CHART AUDITOR

Sana Lake Recovery Center Llc; Dittmer (MO); On-site; USD 18,000 - 24,000; Full time

Benefits offered by this job

Comprehensive medical, dental, vision,

life insurance, and disability plan

401(k) Retirement Savings Plan - up to

Company-paid basic life insurance

Paid Time Off and Paid Holidays

Flexible Spending Accounts

Employee Assistance Program (EAP)

License/Certification Reimbursement

Professional development funds

Licensure supervision options

Staff recognition program

Sana Spirit Days

Job summary

Sana Lake Recovery, LLC is seeking a Clinical Chart Auditor in Dittmer, MO. The ideal candidate will audit records across multiple care levels, ensuring completeness and regulatory compliance, while supporting a member-centered healing process.

Responsibilities include reviewing documentation from clinicians and treatment staff, verifying accuracy, and ensuring alignment with clinical goals and care continuity.

Qualifications

• Associate degree in a relevant field is preferred.
• Minimum of one year of experience in behavioral health or substance use disorder.
• Experience with an electronic health record system is preferred.
• Familiarity with ASAM Criteria, Missouri DMH requirements, Joint Commission standards, HIPAA, 42 CFR Part 2, and payer documentation expectations.

Responsibilities

• Conduct routine and focused audits of client records across detoxification to recovery-support services.
• Review documentation completed by counselors, therapists, case managers, nurses, physicians, and other treatment team members.
• Evaluate records for completeness, accuracy, timeliness, authentication, and policy compliance.
• Confirm documentation reflects services provided, client condition, progress toward goals, and ongoing need for care.
• Review admission assessments, biopsychosocials, medical evaluations, treatment plans, progress notes, and discharge summaries.

Skills

Behavioral health experience

EHR system experience

Regulatory knowledge (HIPAA/42 CFR)

Education

Associate degree in a relevant field

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

CLINICAL CHART AUDITOR

Full Time Dittmer, MO, US

3 days ago Requisition ID: 1245

Salary Range: $18.00 To $24.00 Annually

Full-Time Doing Well, By Doing Good

At Sana Lake Recovery, we treat substance use and mental health disorders as a chronic disease that is unique to each of our members. Our programs have been designed to be member-centered, catering to personalized needs throughout the entire healing process. We offer a full continuum of care from medical detox to recovery supportive housing with treatment options in the St. Louis area.

Our unique approach stems from our dedicated commitment to exceptional care, evidence-based practices, and compassionate staff. The intimate settings provided by Sana Lake cultivate an environment that facilitates meaningful recovery and promotes an overall sense of well-being.

Your Role at Sana Lake

Sana Lake is expanding rapidly and is seeking a Clinical Chart Auditor who is passionate about helping individuals and families recover!

We would love to learn more about you if you:

• Associate degree in a relevant field, preferred
• Minimum of one year of experience in behavioral health or substance use disorder
• Experience with an electronic health record system; preferred
• Familiarity with ASAM Criteria, Missouri Department of Mental Health requirements, Joint Commission standards, HIPAA, 42 CFR Part 2, and payer documentation expectations

Responsibilities:

• Conduct routine and focused audits of client records across applicable levels of care, including detoxification, residential, PHP, IOP, outpatient, and recovery-support services
• Review documentation completed by counselors, therapists, case managers, nurses, physicians, nurse practitioners, physician assistants, and other members of the treatment team
• Evaluate records for completeness, accuracy, consistency, timeliness, appropriate authentication, and compliance with organizational policies
• Confirm that documentation accurately reflects the services provided, the client’s clinical condition, progress toward treatment goals, and ongoing need for the current level of care.
• Review admission assessments, biopsychosocial assessments, medical evaluations, treatment plans, progress notes, group notes, individual and family therapy notes, case-management documentation, medication records, continued-stay reviews, transition plans, and discharge summaries

Sana Lake People First Philosophy

Our staff are our number one differentiator! We know that well-qualified staff who are well-supported provide better care to our members. We strive to empower and encourage our staff as they grow and develop in their careers.

For this reason, Sana Lake offers a wide variety of tangible and intangible benefits to our eligible staff:

• Comprehensive medical, dental, vision, life insurance, and disability plan options
• Competitive 401(k) Retirement Savings Plan - up to 5% match!
• Company-paid basic life insurance
• Paid Time Off and Paid Holidays
• Flexible Spending Accounts
• Employee Assistance Program (EAP)
• License/Certification Reimbursement
• Professional development funds
• Professional licensure supervision options
• Staff recognition program
• Sana Spirit Days

A few reminders from our Workplace Environment Team:

All candidates who have received a written offer of employment will be required to meet the following conditions of employment:

• Receipt of appropriate background checks, including criminal history and abuse/neglect
• Verification of education and licensure, when applicable
• Satisfactory employment and/or reference checks

Sana Lake Recovery, LLC is an Equal Employment Opportunity Employer.