Clinical Auditor
Description
Bring Order, Precision & Compliance to Patient Care
Are you a natural problem-solver who thrives in the details? Do you have a deep respect for structure, accuracy, and doing things the right way, especially when it comes to patient care, documentation, and compliance? If you’re an experienced RN or clinical professional with strong auditing and coding chops, we want to speak with you.
Our Client is looking for a Clinical Auditor who can dig deep, spot inconsistencies, ensure compliance, and help them continuously raise the bar for quality in every patient chart and process.
What You’ll Be Doing This isn’t just reviewing boxes and checking codes. You’ll be a critical link between our clinical, operational, and billing teams, ensuring our documentation and coding not only meet but exceed industry and insurance standards. You’ll educate teams, flag potential risks, and guide improvements with clarity and confidence.
In This Role, You’ll:
- Conduct internal audits of clinical documentation for accuracy and compliance with ICD-10/CPT coding.
- Review billing practices for Medicare, Aetna, BCBS, and other major payers.
- Identify discrepancies and provide recommendations to fix them.
- Educate and train providers and staff on documentation best practices.
- Stay ahead of changes in coding standards and payer requirements.
- Produce clear, concise audit reports for leadership.
- Work independently from your home, managing your own schedule and priorities.
Salary $1300 per month
Location South Africa - Remote
Work Schedule Eastern US time zones
Requirements
You’re a Great Fit If You:
- In depth background in a remote set-up of work similar to freelancing as an Independent Contractor (deep understanding on the pros & cons involved in this industry).
- Registered Nurse or Enrolled Nurse (preferred).
- Are highly experienced in ICD-10 and CPT coding and insurance billing.
- Know the ins and outs of Medicare, BCBS, Aetna, and other big players.
- Have a sharp eye for detail and love tracking down inconsistencies.
- Thrive working independently in a quiet, remote setting.
- Communicate clearly, tactfully, and effectively, whether in reports or training sessions.
Bonus Points If You:
- Have experience in clinical auditing, compliance, or quality assurance.
- Are familiar with EHR systems and audit tools.
- Hold a relevant certification (like CHC or CHCA).