May 22, 2023

Medical auditor - or support

  • Carilion Clinic
  • Roanoke, VA, United States
(CPMA) Certified Professional Medical Auditor

Job Description

Job Summary

Conducts chart audits. The audit process consists of reviewing documentation in the patient's record regarding orders, medications, supplies used and procedures performed and ensuring that all have been charged appropriately. Makes adjustments to the patient's account either adding or removing charges as supported by documentation. Conducts education sessions one on one or with groups to improve charging accuracy.
  • Performs chart audits in a timely and accurate manner.
  • Records existing charging weaknesses and notifies internal department of deficiencies and trends.
  • Contacts necessary staff for additional documentation needed to support charge(s) billed.
  • Attends professional development seminars/inservices to remain up-to-date in clinical procedures and medical documentation required to support them.
  • Submits analysis of audit results and recommendations to department management.
  • Provides hospital personnel with inservices to increase their awareness of charging errors and importance of adequate documentation needed to support charges.
  • Reports potential billing and documentation compliance issues to management.
  • Keeps up to date on allowable procedures and requirements necessary for billing them according to Carilion Clinic policies.
Minimum Qualifications

Education: Associate degree and/or clinical/coding certification preferred.

Experience: Two years' experience in a hospital or clinic/physician ambulatory site, or prior billing/audit/compliance experience.

Other Minimum Qualifications: Excellent communication and interpersonal skills in order to converse with staff, and department heads. Exhibit strong organizational and time management skills. Must be self-motivated. Experience in word processing and spreadsheets required.

About Carilion

This is Carilion Clinic ...

An organization where innovation happens, collaboration is expected and ideas are valued. A not-for-profit, mission-driven health system built on progress and partnerships. A courageous team that is always learning, never discouraged and forever curious.

Headquartered in Roanoke, Va., you will find a robust system of award winning hospitals, Level 1 and 3 trauma centers, Level 3 NICU, Institute of Orthopedics and Neurosciences, multi-specialty physician practices, and The Virginia Tech Carilion School of Medicine and Research Institute.

Carilion is where you can make your own path, make new discoveries and, most importantly, make a difference. Here, in a place where the air is clean, people are kind and life is good. Make your tomorrow with us.

Requisition Number: 132044
Employment Status: Full time
Location: CRCH - Carilion Roanoke Community Hospital
Shift: Day
Shift Details: Monday - Friday; 8am to 5pm
Recruiter Phone: 540-400-4631
Recruiter Email:
For more information, contact the HR Service Center at 1-800-599-2537.

Equal Opportunity Employer

Minorities/Females/Protected Veterans/Individuals with Disabilities/Sexual Orientation/Gender Identity

Carilion Clinic is a drug-free workplace.

Carilion Total Rewards

What matters to you is important to us—like benefits, rewards, and resources to improve your life. Carilion understands the importance of prioritizing your well-being to help you develop and thrive. When you make your tomorrow with us, we’ll enhance your potential to realize the best in yourself. Below are benefits available to you when you join Carilion:
  • Employer Funded Pension Plan, vested after five years (Voluntary 403B)
  • Comprehensive Medical, Dental, & Vision Benefits
  • Flexible Work Arrangements/Schedules
  • Remote Work Options
  • Paid Time Off (accrued from day one)
  • Onsite fitness studios and discounts to our Carilion Wellness centers
  • Access to our health and wellness app, Virgin Pulse
  • Discounts on childcare
  • Continued education and training
Find more about Carilion Clinic’s benefits by vising our Total Rewards Page.

Equal Opportunity Employer
Minorities/Females/Protected Veterans/Individuals with Disabilities/Sexual Orientation/Gender Identity
Carilion Clinic is a drug-free workplace.