Data Validation Administrator

Role Description

The Data Validation Administrator supports the accuracy, quality, and compliance of clinical documentation within a behavioral health outpatient setting. This role works closely with Behavioral Health Medical Practitioners, Psychiatrists, Registered Nurses (RNs), Family Nurse Practitioners (FNPs), and Medical Assistants to improve documentation practices, ensure alignment with billing and coding requirements, and maintain data integrity across systems.

• Review patient records to ensure documentation supports appropriate billing and coding; including diagnoses, services rendered, and medical necessity.
• Identify documentation gaps that may impact reimbursement, compliance, or patient care. Work with providers to resolve them.
• Assist providers in understanding documentation requirements related to coding standards (e.g., CPT, ICD-10) and payer guidelines.
• Conduct routine chart audits to validate accuracy and alignment between clinical documentation and billing data.
• Collaborate with the billing department to ensure clean claims and reduce denials or rework.
• Provide real-time or retrospective feedback to clinicians to improve documentation practices.
• Track trends in documentation errors, coding issues, and claim denials. Report findings on leadership.
• Support compliance with HIPAA, state regulations, and payer-specific requirements.
• Develop training materials and provide education to medical and clinical staff on best practices for documentation, billing, and coding.
• Assist in the management of organizational projects as needed.
• Assist in evaluating and standardizing operations, policies, and procedures.
• Assist with training and education of staff upon request.
• Additional duties assigned by supervisor or member of management.

Qualifications

• Associate or bachelor's degree in health information management, Healthcare Administration, Nursing, or related field preferred.
• High School Diploma/GED Required.
• Certified Professional Coder Certification preferred.
• 2+ years of experience in healthcare data validation, clinical documentation improvement (CDI), medical billing/coding, or chart auditing.
• NextGen software experience preferred.
• High attention to detail and strong organization skills are essential.
• Experience using electronic health care records.
• Excellent interpersonal skills, capable of confidently and effectively presenting and speaking.
• Able to work independently, collaboratively, and proactively to accomplish work goals.
• Excellent computer skills.
• Proficient in basic data analysis, reporting to include spreadsheets, charts, and diagrams.
• Proficient in Microsoft Office Suite and managing projects through a full cycle process.
• Must have a Fingerprint clearance card or be eligible to obtain one.

Requirements

• Demonstrated ability to remain calm in crisis situations, work independently and cooperatively, recognize personal limitations, and relate positively and with empathy to all persons regardless of age, race, creed, gender or sexual orientation.
• Maintain professional conduct consistent with ethical professional practice and the policies and procedures of the agency.
• Maintain a professional demeanor and positive working relationships with internal and external team members, stakeholders, and community and business partners.
• If driving while on agency time or on agency business, a valid Arizona driver license and appropriate liability insurance and approval for liability coverage with EMPACT - SPC’s liability insurance carrier is required.

Benefits

• Generous PTO.
• 10 paid holidays per year.
• Medical plans (4 choices).
• Dental plans (2 choices).
• Vision plans (2 choices).
• 403(b) retirement plan.
• Retirement Allowance.
• Company paid Life/AD&D and Long-Term Disability.
• Voluntary additional Life and Short-Term Disability.
• Tuition Reimbursement.
• Licensure Reimbursement.
• Elder Care assistance.
• Pet Insurance and much more!