Senior Medical Documentation Auditor

The Senior Medical Documentation Auditor works under the direction of the Associate Director of Compliance Programs to support the UNLV Health Compliance Program. The auditor will design and execute audits of medical records, conduct educational training sessions with clinicians based on the audit results, and research and respond to inquiries. Identifies organizational risks and coding trends by performing audits and reviewing analytical data.

Educate physicians and clinical staff to improve their medical documentation to be in line with medical record documentation requirements. Develops and executes audits, by applying their technical audit and computer software skills, to prepare accurate and detailed audit reports mitigating liability to the organization.

Candidates must be legally authorized to work in the United States.

Please Note:

UNLV Health does not provide employment sponsor ships or sponsorship transfers for any positions.

• Working Monday through Friday, 8AM to 5PM. (Actual hours may vary depending on business need).
• 12 Full-Day and 2 Half-Day Paid Holidays per year, starting with your first day of employment.
• 22 PTO days per year.
• 3% 401K Contribution, even if you do not contribute (after 90 days).
• Medical, Dental, and Vision benefits that start the first of the month following your start date.

• Plan, develop and execute reviews (i.e., audit, assessments, and investigations) to evaluate the medical records for compliance with established documentation, coverage, coding and billing guidelines.
• Develop and conduct education programs for physicians (i.e., attending, fellows, and residents) and clinical staff (PA, NP/APRN, RN, LPV/LVN, therapists, and medical assistants) on documentation, coverage, coding and billing guidelines.
• Prepare detailed audit reports and documentation to support findings of deficiencies and recommendations for improvements or corrections.
• Ensure the correct application of ICD-10, CPT, and HCPCS codes for diagnoses, treatments, procedures, and services provided.
• Implement corrective actions and educate physicians and clinical staff to improve their medical documentation to be in line with medical record documentation requirements.
• Research and respond to inquiries submitted by providers, coders and administrative staff regarding medical records documentation.
• Act as the compliance liaison with faculty members, developing relationships and functioning as a resource to all providers and their staff relating to audits and results.
• Serve as an institutional subject matter expert and authoritative resource on medical record documentation requirements. Maintains up-to-date information on all the standards set by Medicare, Medicaid, and other entities relating to medical record documentation requirements.
• Analyze audit data to track trends, identify recurring issues, and provide feedback to improve overall coding accuracy.
• Assist with internal and external audits, responding to any documentation/coding-related queries.
  
  Support the development and implementation of a compliance program that includes regular audits, feedback mechanisms, and policy updates.
• Assist with onboarding new physicians and provide ongoing education to ensure adherence to coding standards.
• Completes any duties and special assignments as requested.

• Minimum of five (5) years of experience in healthcare compliance, medical coding, and/or related field required or minimum of eight (8) years of experience in lieu of Bachelor’s degree.
• High School Diploma or GED equivalency required.
• Bachelor's Degree in Business, Healthcare, and/or related field preferred.
• Certified Professional Medical Auditor certification (CPMA)…