HIM Audit Specialist - Remote Chart & Coding Reviews

Hartford HealthCare; Farmington (CT); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Remote auditing of records

Competitive benefits

Work-life balance

Job summary

Hartford HealthCare in Farmington, CT is seeking an Audit Specialist to review clinical documentation and determine appropriate CPT, ICD-10 and HCPCS coding in accordance with regulatory and payer requirements.

The role focuses on timely chart audits, education support, and process improvement across the organization, with remote auditing up to necessary scope and a strong emphasis on confidentiality and accuracy in a fast-paced healthcare environment.

Qualifications

• Minimum: High School Diploma.
• Preferred: Associates Degree.
• 3 years’ work experience with CPT, HCPCS and ICD-10 coding conventions.
• Chart review of documentation of Evaluation and Management.
• Experience with interpreting Medicare, Medicaid and third-party billing and compliance regulations necessary.
• Experience working with CMS, health insurers strongly desired.
• Experience auditing documentation.

Responsibilities

• Analyze provider documentation for appropriate assignment of EM CPT, ICD-10, and modifiers. Audit charts assigned timely and efficiently providing feedback from the audit to the educators.
• Researches literature from regulatory groups such as; HHS/OIG, Medicare, Medicaid and NGS to keep organization current with regulatory requirements and accepted audit practices.
• Communicate with team members on findings from the chart audits to help support and create training material for the providers
• Help support creating documentation templates designed for specialty/client, e.g., medical reports, monitoring/analysis reports, continuous auditing tools, etc.
• Identity’s common documentation and coding issues and process improvement and effectively communicates with team the findings.

Skills

CPT coding

HCPCS coding

ICD-10 coding

Chart review

Regulatory compliance

Analytical skills

Written communication

CMS regulations

Education

High School Diploma

Associates Degree

Tools

Epic

Healthicity

Intel Code

MS Word

MS Excel

PowerPoint

Job description

Hartford HealthCare in Farmington, CT is seeking an Audit Specialist to review clinical documentation and determine appropriate CPT, ICD-10 and HCPCS coding in accordance with regulatory and payer requirements.

The role focuses on timely chart audits, education support, and process improvement across the organization, with remote auditing up to necessary scope and a strong emphasis on confidentiality and accuracy in a fast-paced healthcare environment.