Medicare QA Auditor & Clinical Documentation Specialist

HG Analytics; Houston (TX); On-site; USD 28,000 - 33,000; Part time

Benefits offered by this job

Mileage reimbursement for approved旅行

Job summary

HG Analytics seeks a Program Quality Assurance Specialist to ensure patient encounters are thoroughly documented before claims submission. You will audit medical records, validate Medicare compliance, and uphold quality standards across Texas locations.

The ideal candidate is detail-oriented, experienced in clinical documentation, and focused on compliant, accurate reimbursement with travel as needed.

Qualifications

• Minimum 2 years of experience working in a clinical setting.
• Minimum 1 year of experience with Medicare guidelines, documentation requirements, and quality metrics.
• Strong understanding of clinical documentation standards.
• Exceptional attention to detail.
• Strong written and verbal communication skills.
• Ability to prioritize multiple tasks while meeting deadlines.
• Willingness to travel throughout Texas as needed.

Responsibilities

• Audit 100% of patient encounters for documentation accuracy and completeness.
• Review all documentation before claims are submitted to ensure billing readiness.
• Verify that required clinical documentation supports all services performed.
• Ensure compliance with Medicare regulations, documentation standards, and company protocols.
• Identify documentation deficiencies and communicate required corrections to providers and clinical staff.
• Monitor quality trends and recommend process improvements.
• Maintain detailed QA audit logs and reporting.
• Participate in ongoing quality improvement initiatives.
• Travel throughout Texas as needed to support clinic audits and training.

Skills

Clinical documentation

Medicare compliance

Critical thinking

Problem solving

Organization

Time management

Microsoft Office

Tools

EMR/EHR systems

Job description

HG Analytics seeks a Program Quality Assurance Specialist to ensure patient encounters are thoroughly documented before claims submission. You will audit medical records, validate Medicare compliance, and uphold quality standards across Texas locations.

The ideal candidate is detail-oriented, experienced in clinical documentation, and focused on compliant, accurate reimbursement with travel as needed.