Current jobs related to Encounter Documentation Auditor - Springfield - Springfield Clinic

  • Junior Auditor

    4 weeks ago

    Springfield, Illinois, United States CGS Administrators Full time

    Overview At CGS Administrators, we pride ourselves on being a cornerstone of the healthcare landscape, providing essential services that ensure compliance and operational excellence. With a commitment to integrity and service, we are looking for dedicated individuals to join our auditing team. Position Summary: As a Junior Auditor, you will play a vital role...

  • Insurance Auditor

    2 days ago

    Springfield, Massachusetts, United States Armstrong Receivable Management Full time

    Job OverviewArmstrong Receivable Management is seeking a skilled Premium Auditor to join our team. As a Premium Auditor, you will be responsible for examining the financial records of insurance companies to ensure compliance with laws and regulations.Key ResponsibilitiesConduct thorough audits of Workers Compensation, General Liability, and Automobile...

  • District Inventory Auditor

    4 weeks ago

    Springfield, United States GPM Investments Full time

    The District Auditor position is responsible for counting all physical inventories, generating department audit reports, reconciling computer data with the physical counts taken and reporting on errors found. The position also works with each department to reduce errors in inventory accuracy. Pay Rate: $16-17/hr Auditor will perform front line accounting...

  • District Inventory Auditor

    4 months ago

    Springfield, United States GPM Full time

    Overview The District Auditor position is responsible for counting all physical inventories, generating department audit reports, reconciling computer data with the physical counts taken and reporting on errors found. The position also works with each department to reduce errors in inventory accuracy.  Responsibilities Auditor will perform...

  • Environmental Compliance Field Auditor

    3 weeks ago

    Springfield, Illinois, United States Clean Harbors Full time

    Clean Harbors is looking for an Environmental Compliance Field Auditor. The Field Auditor will be responsible for monitoring and documenting daily operations at remediation and emergency response sites. Key duties include sample collection, executing field tasks, and collaborating closely with the Project Manager/Field Supervisor. This position requires...

  • Financial Compliance Auditor

    4 weeks ago

    Springfield, Illinois, United States CGS Administrators Full time

    Overview At CGS Administrators, we pride ourselves on being a longstanding leader in the insurance industry, dedicated to providing exceptional service and support to our clients. As a vital part of our team, you will contribute to our mission of maintaining high standards of compliance and operational excellence. Position Summary: In this role, you will...

  • Junior Premium Auditor

    4 weeks ago

    Springfield, Illinois, United States Armstrong Receivable Management Full time

    Job OverviewArmstrong Receivable Management is a renowned leader in the field of debt recovery and financial solutions, providing exceptional services to businesses across diverse sectors for many years. Our commitment to excellence has established us as a trusted partner in B2B collections and customized debt recovery strategies.We are currently seeking...

  • Motor Carrier Auditor

    2 weeks ago

    Springfield, Illinois, United States State of Oregon Full time

    Job Summary:This is a limited duration appointment that is expected to end on or before June 30, 2025. Limited duration appointments are benefits eligible and have a designated maximum length of service. This position has the potential to become permanent.About the Role:The State of Oregon is seeking a highly skilled and detail-oriented Motor Carrier Auditor...

  • Night Auditor

    3 months ago

    Springfield, United States Courtyard Springfield Full time

    Job Summary: The Night Auditor is responsible for the preparation and disposition of all Night Audit work. Responsible for the front desk operation during the overnight shift (Typically 11pm-7am). Primary responsibilities include: registering guests making reservations preparing daily reports balancing transactions and conducting security walks....

  • Senior Health Insurance Auditor

    4 months ago

    Springfield, United States Health New England Full time

    Job DescriptionJob DescriptionPurpose of the JobThe Senior Health Insurance Auditor position at HNE is a key member of the team that ensures there is an effective process of monitoring internal controls and risk mitigation. This position will review financial and operational areas to verify that HNE is operating within the policies, procedures, and...

  • Internal Auditor

    2 weeks ago

    West Springfield, Massachusetts, United States Balise Auto Full time

    Job SummaryWe are seeking a highly skilled and detail-oriented Financial Compliance Specialist to join our team at Balise Auto. As an Internal Auditor, you will play a critical role in ensuring the accuracy and integrity of our financial transactions and compliance with regulatory requirements.Key ResponsibilitiesRegistration and Compliance: Register...

  • Motor Carrier Auditor

    2 days ago

    Springfield, Illinois, United States State of Oregon Full time

    Job Summary:Compliance Specialist 2 – Motor Carrier Auditor (Limited Duration)This role involves performing audits to ensure compliance with Oregon's weight-mile tax, over-dimension fees, commercial registration, International Registration Plan, and International Fuel Tax Agreement regulations.About the Role:Organize, examine, and analyze carrier mileage...

  • District Inventory Auditor

    2 days ago

    Springfield, Illinois, United States GPM Investments LLC Full time

    Job DescriptionOverviewThe District Inventory Auditor position is responsible for conducting thorough inventory audits, generating accurate reports, and reconciling discrepancies. This role requires strong analytical skills and attention to detail to ensure the accuracy of inventory counts.ResponsibilitiesConduct front-line accounting reviews during retail...

  • Motor Carrier Auditor

    3 months ago

    Springfield, United States State of Oregon Full time

    Job Description: Compliance Specialist 2 – Motor Carrier Auditor (Limited Duration)Oregon Department of TransportationCommerce and Compliance DivisionCommercial Vehicle Tax Branch / Springfield Audit / HybridThe role:  Join our team in Springfield for this exciting opportunity as a motor carrier auditor. In this role, you will perform audits to ensure...

  • Engineering Quality Auditor

    4 weeks ago

    Springfield, New Jersey, United States Jobot Full time

    Quality Assurance Inspector Required for Innovative Manufacturing FirmAn innovative manufacturing firm is on the lookout for a talented Quality Assurance Inspector to become part of their energetic workforce. This organization specializes in the design and production of fluid control and motion control components, catering to high-demand applications within...

  • Internal Auditor

    1 month ago

    West Springfield, United States Balise Auto Full time

    Job DetailsJob Location BDS - West Springfield, MA Position Type Full Time Job DescriptionCVR/Registry Specialist The Registry Specialist works with our sales and finance managers to register vehicles and provide exceptional customer service. Job Description: Registering vehicles in multiple states. Assisting Finance Managers, customers, sales associates,...

  • Software Quality Assurance Specialist

    1 week ago

    Springfield, Ohio, United States Woolpert Full time

    {"Overview": "At Woolpert, we are seeking a skilled Software Quality Assurance Analyst to join our team. As a key member of our quality assurance team, you will be responsible for ensuring the validation of our product offerings and deliveries are without defects and completed based on previously agreed upon feature specifications, standards, and...

  • Instrumentation and Control Systems Specialist

    4 weeks ago

    Springfield, United States Arclin Full time

    Position Overview:Arclin, Inc. is looking for a skilled Automation Controls Technician to support our operations. This role is essential for the upkeep and optimization of our facility's automation systems.Key Responsibilities:Conduct routine maintenance and troubleshooting of automation instruments and control systems.Perform regular cleaning, calibration,...

  • Rehabilitation Services Manager

    6 days ago

    Springfield, Massachusetts, United States Aegis Therapies Full time

    About the RoleAegis Therapies is seeking a highly skilled and experienced Director of Rehabilitation to join our team in Springfield, Massachusetts. As a key member of our outpatient therapy team, you will be responsible for providing exceptional care to seniors in assisted and independent living communities.Key ResponsibilitiesLead a team of therapists in...

  • Motor Carrier Compliance Specialist

    3 weeks ago

    Springfield, Illinois, United States State of Oregon Full time

    Job Description:Compliance Specialist 2 – Motor Carrier Auditor (Limited Duration)Oregon Department of TransportationCommerce and Compliance DivisionCommercial Vehicle Tax Branch / Springfield AuditHybridJob Summary:We are seeking a highly skilled Compliance Specialist 2 to join our team in Springfield. As a Motor Carrier Auditor, you will be responsible...

Encounter Documentation Auditor

3 months ago

Springfield, United States Springfield Clinic Full time
Job Description

The Encounter Documentation Auditor is responsible for performing audits of office-based encounters to assess the accuracy and integrity of the electronic billing process, preparing comprehensive reports on the results of coding and billing audits, denial trends, and areas for improvement of clinical documentation, and meeting with providers and clinical staff to provide education and present results of audits.

Job Relationships
Reports to the Billing Compliance Manager

Principal Responsibilities
Perform scheduled audits of office-based services with special emphasis on assessment of Evaluation and Management levels assigned to encounters, identifying missed billing opportunities and errors in assignment of CPT codes.
Develop audit schedule in collaboration with the Patient Accounting Director and Billing Compliance Manager.
As directed, study potential reimbursement issues or financial impact of improper billing identified in audits.
Prepare formal reports documenting audit findings and educational material for distribution to Operations management and providers.
Maintain a comprehensive log of all audits performed.
Report all concerns of possible non-compliance in billing matters to the attention of the Patient Accounting Director and Billing Compliance Manager.
Assess results of denial/edit data towards producing a comprehensive audit report on an individual provider basis
Analyze clinical documentation to identify areas of potential improvement especially as it pertains to the conversion to the ICD-10 code set.
Maintain a strong working knowledge of Evaluation and Management and CPT coding, as well as the ICD-10 code set.
Comply with the Springfield Clinic incident reporting policy and procedures.
Adhere to all OSHA and Springfield Clinic training & accomplishments as required per policy.
Provide excellent customer service and adhere to SC Way customer service philosophy.
Perform other job duties as assigned.

Education/Experience
High School graduate or GED required; college degree preferred.
Minimum of three (3) years coding, clinical billing or auditing experience preferred.
Must possess some combination of coding (certified coder preferred), clinical office experience and/or billing audit experience.
Proficiency with the Clinic's practice management system (IDX), electronic health record (Touchworks), and Microsoft Office suite.
Must possess some combination of coding (certified coder preferred), clinical office experience and/or billing audit experience.

Knowledge, Skills and Abilities
Ability and desire to further knowledge of laws/regulations/coding expertise by continuing education efforts (reading manuals/subscriptions/newsletters, attending in-services and educational conferences).
Ability to work independently on assigned duties with minimal supervision.
Must possess strong analytical and communication skills.
Must possess manual dexterity required for use of computer keyboard.

Working Environment
Requires sitting and standing for periods of time working in an office environment.
Some amount of travel to clinical locations, typically locally, required.

PHI/Privacy Level
HIPAA1