Clinical Compliance Auditor
Pay: $60,000 - $65,000 annually
Type: Full-time The Clinical Compliance Auditor is responsible for conducting clinical documentation audits across all NANA Healthcare Management facilities. This includes evaluating the quality, accuracy, and timeliness of documentation for compliance with Georgia DCH, DBHDD, Joint Commission, and insurance requirements. Knowledge and Training:
- Adhere to Confidentiality requirements as outlined in 42 CFR, Part 2.
- Must have the ability to interact with staff in a professional manner.
- The ability to handle stressful and demanding situations
- Knowledge of Medicaid, DBHDD, DCH, and Joint Commission documentation standards.
- Strong attention to detail, time management, and interpersonal skills.
- Ability to conduct objective chart reviews and summarize findings.
- Understanding of medical necessities, assessments, and treatment planning documentation.
- Familiarity with trauma-informed care, ASAM criteria, and progress note auditing.
- Experience using EHR systems such as Kipu, EPIC, Carelogic, or similar.
- Perform routine chart audits across levels of care (residential, PHP, IOP, outpatient).
- Evaluate assessments, treatment plans, progress notes, and discharges for quality and completeness.
- Ensure documentation meets standards for medical necessity and clinical best practice.
- Identify deficiencies and generate audit findings reports.
- Collaborate with Compliance Manager and Clinical Directors on corrective actions.
- Assist in Root Cause Analysis for documentation-related incidents.
- Maintain audit logs and tracking systems.
- Participate in compliance training development and delivery.
- Support internal mock surveys and payer audit preparation.
- Work with the compliance team to ensure audit findings are addressed in a timely manner.
- Master’s degree in Social Work, Counseling, Nursing, or related field
- 2+ years of experience in a behavioral health setting
- LCSW, LPC, LMSW, LMFT, or RN in Georgia
- Paid time off
- Paid Holidays
- Health insurance
- Dental insurance
- Vision insurance
- Life insurance
- Team-oriented work environment
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