A prominent retina-only ophthalmology group in California seeks a Clinical Chart Auditor to ensure clinical documentation integrity and coding accuracy. The successful candidate will conduct systematic reviews of patient medical records, perform internal audits, and collaborate with clinical teams. Preferred qualifications include a Bachelor's degree and experience as a scribe. The role offers competitive benefits and the potential for remote work options based on qualifications.
Qualifications
2+ years of experience as a scribe in an ophthalmology setting preferred.
1+ years as a lead scribe and/or clinical trainer preferred.
Responsibilities
Conduct systematic reviews of patient medical records for documentation integrity.
Perform routine internal chart audits on patient encounters.
Document and track compliance gaps and deficiencies.
Analyze audit findings and present insights for improvements.
Skills
Knowledge of retina-specific documentation requirements
Proficiency with Nextech EHR and EPM systems
Strong analytical skills
Excellent communication skills
Organizational abilities
Problem-solving abilities
Ability to work independently
Conflict resolution
Education
Bachelor's degree
Ophthalmic Scribe Certified (OSC)
Ophthalmic Coding Specialist Retina (OCSR)
CRT, COA, COT, COMT
Job description
A prominent retina-only ophthalmology group in California seeks a Clinical Chart Auditor to ensure clinical documentation integrity and coding accuracy. The successful candidate will conduct systematic reviews of patient medical records, perform internal audits, and collaborate with clinical teams. Preferred qualifications include a Bachelor's degree and experience as a scribe. The role offers competitive benefits and the potential for remote work options based on qualifications.