Job Overview

We are seeking a detail-oriented Billing Documentation Auditor for a full-time remote position (Monday to Friday, 8:00 AM – 4:00 PM AZ Time). Acting as the vital quality checkpoint between clinical operations and billing, you will audit clinical documentation to ensure it supports billed services, meets medical necessity, and complies with payer requirements prior to claim submission. You will validate charges, track missing elements, and collaborate with clinicians to correct documentation deficiencies before release. This role is ideal for a proactive professional skilled in auditing, spreadsheet management, and clear communication.

Schedule: Mon-Fri, 8:00 AM - 4:00 PM AZ Time with 30 mins paid break (40 hrs per week)

Responsibilities

• Documentation Review

● Audit clinical documentation for completeness prior to billing.

● Verify required signatures, credentials, and dates are present.

● Ensure treatment plans, assessments, and progress notes support billed services.

● Confirm documentation supports the level of care and medical necessity.

● Verify diagnoses are current and appropriate for services rendered.

• Charge Validation

● Ensure every documented service has an associated charge.

● Identify services that were documented but not billed.

● Verify units, modifiers, revenue codes, and service dates are accurate.

● Review provider assignments and supervising provider requirements.

• Compliance

● Ensure documentation meets payer-specific billing requirements.

● Monitor compliance with AHCCCS, Medicare, Medicaid, and commercial payer guidelines.

● Conduct routine internal documentation audits.

● Identify trends that increase denial risk.

• Education & Communication

● Notify clinicians of documentation deficiencies.

● Provide education on recurring documentation issues.

● Track provider-specific documentation trends.

● Collaborate with Clinical Directors to improve documentation quality

• Daily Responsibilities

● Review previous day's documentation.

● Identify missing or incomplete documentation.

● Notify staff of unsigned, incomplete, or inaccurate documentation

● Follow up to ensure documentation has been corrected

● Monitor unsigned documentation.

● Reconcile completed documentation against scheduled appointments.

● Release completed accounts for billing.

● Report unresolved documentation deficiencies.

Requirements

• Experience with excel and google sheets
• Good communication skills
• Time Management skills
• Detail oriented

Independent Contractor Perks

Permanent work from home

Immediate hiring

Health Insurance Coverage for eligible locations

Note

Please click the "Apply" button to complete your application, including the assessment questions, technical check, and voice recording. Your hourly pay rate will be established based on your performance in the application process; submissions with all requirements fulfilled will receive priority review.