CLINICAL CHART AUDITOR

Job Description

Job Description

Remote (Must live in Saint Louis, MO)

Full-Time

Doing Well, By Doing Good
At Sana Lake Recovery, we treat substance use and mental health disorders as a chronic disease that is unique to each of our members. Our programs have been designed to be member-centered, catering to personalized needs throughout the entire healing process. We offer a full continuum of care from medical detox to recovery supportive housing with treatment options in the St. Louis area.

Our unique approach stems from our dedicated commitment to exceptional care, evidence-based practices, and compassionate staff. The intimate settings provided by Sana Lake cultivate an environment that facilitates meaningful recovery and promotes an overall sense of well-being.

Your Role at Sana Lake
Sana Lake is expanding rapidly and is seeking a Clinical Chart Auditor who is passionate about helping individuals and families recover!

The Clinical Chart Auditor is responsible for reviewing clinical and medical records across substance use disorder treatment programs to ensure documentation is complete, accurate, clinically appropriate, and compliant with applicable regulatory, accreditation, payer, and organizational requirements.

We would love to learn more about you if you: 

• Associate degree in a relevant field, preferred
• Minimum of one year of experience in behavioral health or substance use disorder 
• Experience with an electronic health record system; preferred
• Familiarity with ASAM Criteria, Missouri Department of Mental Health requirements, Joint Commission standards, HIPAA, 42 CFR Part 2, and payer documentation expectations

Responsibilities:

• Conduct routine and focused audits of client records across applicable levels of care, including detoxification, residential, PHP, IOP, outpatient, and recovery-support services
• Review documentation completed by counselors, therapists, case managers, nurses, physicians, nurse practitioners, physician assistants, and other members of the treatment team
• Evaluate records for completeness, accuracy, consistency, timeliness, appropriate authentication, and compliance with organizational policies
• Confirm that documentation accurately reflects the services provided, the client’s clinical condition, progress toward treatment goals, and ongoing need for the current level of care.
• Review admission assessments, biopsychosocial assessments, medical evaluations, treatment plans, progress notes, group notes, individual and family therapy notes, case-management documentation, medication records, continued-stay reviews, transition plans, and discharge summaries

Sana Lake People First Philosophy

Our staff are our number one differentiator! We know that well-qualified staff who are well-supported provide better care to our members. We strive to empower and encourage our staff as they grow and develop in their careers.

For this reason, Sana Lake offers a wide variety of tangible and intangible benefits to our eligible staff:

• Comprehensive medical, dental, vision, life insurance, and disability plan options
• Competitive 401(k) Retirement Savings Plan - up to 5% match!
• Company-paid basic life insurance
• Paid Time Off and Paid Holidays
• Flexible Spending Accounts
• Employee Assistance Program (EAP)
• License/Certification Reimbursement
• Professional development funds
• Professional licensure supervision options
• Staff recognition program
• Sana Spirit Days

A few reminders from our Workplace Environment Team:

All candidates who have received a written offer of employment will be required to meet the following conditions of employment:

• Receipt of appropriate background checks, including criminal history and abuse/neglect
• Verification of education and licensure, when applicable
• Satisfactory employment and/or reference checks

Sana Lake Recovery, LLC is an Equal Employment Opportunity Employer.