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Medical Chart Auditor

About Us

Upperline Health launched in 2017 and is a fast-growing healthcare company focused on becoming the national leader in podiatric and lower extremity care. Upperline’s mission is to provide the highest quality foot care to more patients in need through a skilled and compassionate team. We specialize in targeting diabetic patients at risk of developing foot complications and intervening earlier to prevent more serious consequences. Upperline Health is based out of Nashville, TN and has clinics in 6 states.

Benefits

• Comprehensive benefit options include medical, dental and vision, 401K and PTO.

About the Medical Chart Auditor

Upperline is looking for a Medical Chart Auditor to support our team of clinicians in delivering complex health services by reviewing and evaluating physician documentation of diagnosis and coding for all services rendered to ensure accuracy and compliance with all coding and billing guidelines and regulatory requirements. The Chart Auditor is a critical team member for Upperline as we continue to grow rapidly throughout the U.S.  The Revenue Cycle department is expanding due to growth and is the fastest growing area of our company. To be successful at this role, you will need to be an outstanding communicator and team player who demonstrates strong attention to detail and thrives in a collaborative and fast-paced environment. Ideal candidates will have prior medical coding experience, knowledge of coding and billing guidelines, experience auditing medical charts and the ability to confidently communicate with medical providers.  As Upperline expands quickly, you will be able to explore a wide range of career opportunities within the company. This position is located in Nashville, TN.

Responsibilities of the Medical Chart Auditor

• Regularly review consistent metrics, identify and correct errors in documentation for a high volume of physician’s charts in the EMR
• Ensure all codes and documentation are completed accurately to optimize reimbursement
• Utilize grading rubric of defined metrics in conducting thorough assessment chart documentation
• Prepare and present reports of audit findings to Chief Medical Officer, Revenue Cycle Director and appropriate stakeholders
• Confidently communicate with medical providers as well as senior management
• Assist in developing corrective action plans for non-compliant physicians
• Provide detailed documentation and provide direct education to providers and staff for required adherence to internal compliance metrics and regulatory guidelines
• Effectively communicate reasons behind insufficient results to individual physicians
• Provide appropriate training for physicians and staff in an effort to eliminate future errors and maintain compliance
• Review potential groups to assess relative coding and compliance risk
• Create checklists and review and aggregate pre-acquisition data, which includes charts received in various formats
• Prescreen high risk compliance items and notes prior to claims being created

Qualifications of the Medical Chart Auditor

• Medical coding experience is required, CPC is strongly preferred
• Orthopedic and/or podiatric coding experience is helpful
• Previous chart auditing experience is highly preferred
• Strong understanding of compliance, audits and best practices in coding
• Experience working in EMR systems, Athena EMR is preferred
• Demonstrated ability as a consistent, patient and effective communicator to educate in an informational, influential, concise, and personable manner
• Excellent written communication skills with success providing written documentation via computer systems
• Ability to accurately and efficiently analyze a high volume of medical information
• Working knowledge of resources to utilize
• Self-motivated with a superior attention to detail
• Values the accuracy and urgency that is critical to chart auditing in relation to compliance, RCM and the company
• Bachelor’s Degree is preferred

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