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Audit Support Specialist

Excelsia Injury Care

About Us Born in 1993, Excelsia Injury Care’s mission is to restore quality of life through patient‑centric care and support for those injured in motor vehicle or work‑related accidents. With over 100 patient care centers across the Mid‑Atlantic, Midwest, and Mountain West regions, our vision is to be the leading provider of injury care, setting the standard for excellence in every community we serve and expanding access to high‑quality care nationwide. At Excelsia, we deliver the full continuum of outpatient care within one seamless, connected system. Our diverse team of medical specialists offers a wide range of treatment services, covering medical, orthopedics, neurology, rehabilitation, diagnostic, and surgical. We are committed to supporting patients through personalized support, detailed documentation, and outcome‑oriented care coordination to make the recovery process easier. With Excelsia, patients are never far from the care they need—with the compassion they deserve. Founded on the values of respect and trustworthiness, we are committed to delivering services that adhere to the highest legal, regulatory, and ethical standards. As responsible corporate citizens, we integrate environmental, social, and governance considerations into our business practices, ensuring that we positively impact the healthcare companies we serve, our employees, and the communities we reach. Job Summary The Audit Support Specialist – Clinical Documentation & Quality is responsible for supporting the organization’s clinical audit, compliance, and documentation integrity initiatives across a multi‑state outpatient network. This role performs structured, criteria‑driven chart reviews to identify the presence, completeness, and alignment of key clinical documentation elements in accordance with internal protocols, regulatory expectations, and organizational quality standards. This position functions as a non‑coding audit support role and works under the direction of certified coding professionals and clinical leadership. The Audit Support Specialist plays a critical role in preparing documentation for secondary review, supporting audit workflows, and contributing to the organization’s broader quality assurance and utilization governance initiatives. Duties / Responsibilities Chart Review & Audit Support Perform standardized chart reviews using internal audit tools across designated service lines (e.g., MRI, EMG/NCV, discharge, and therapeutic modalities such as decompression). Identify the presence or absence of required documentation elements based on established audit criteria and protocols. Extract and organize relevant clinical information for secondary review by certified coders and clinical reviewers. Apply structured audit checklists and scoring methodologies consistently and accurately. Documentation Quality & Compliance Support Evaluate documentation for completeness, internal consistency, and alignment with clinical protocols. Flag missing, incomplete, or potentially non‑compliant documentation elements for escalation. Support adherence to documentation standards related to medical necessity, treatment progression, and plan of care changes. Assist in identifying trends or recurring documentation gaps for internal reporting. Audit Workflow & Data Management Pull and prepare charts from electronic health record (EHR) systems in accordance with audit schedules and sampling methodologies. Maintain accurate audit logs, tracking tools, and data entry systems. Ensure timely completion of assigned audit volumes in alignment with monthly and quarterly review cycles. Support audit data aggregation and reporting processes as directed. Cross‑Functional Collaboration Work closely with certified coding professionals, compliance personnel, and clinical leadership. Participate in audit calibration and training sessions to ensure consistency and reliability of reviews. Support Quality Council initiatives and documentation governance efforts as needed. Maintain clear and professional communication with internal stakeholders. Required Skills / Abilities Detail orientation and accuracy. Process adherence and consistency. Analytical thinking within structured frameworks. Accountability and reliability. Professional discretion and confidentiality (HIPAA compliance). Proficiency with computer systems and ability to navigate electronic health records. Strong written and verbal communication skills. Ability to manage multiple tasks and meet deadlines in a fast‑paced environment. Preferred Skills Experience with data entry, quality assurance, or review‑based roles. Prior experience in healthcare, medical records, or administrative support. Exposure to clinical documentation, compliance, or audit processes. Education And Experience High School Diploma or GED required. Associate’s Degree not required, preferred. Physical Requirements Sitting, standing, walking, reaching above shoulder length, working with body bent over at waist, working in kneeling position, climbing stairs, climbing ladders, working with arms extended at shoulder length, lifting max. of 20 lbs. Benefits Medical, Dental and Vision plans through CareFirst with PPO and HSA options available the first of the month after your hire date. Rich leave benefits including PTO that is accrued starting on your first day of work, 8 company‑recognized paid holidays plus a floating holiday, and 5 days of sick leave each calendar year. Employee Assistance Program, Earned Wage Access, and Employee Assistance Fund. Discounts on shopping and travel perks through WorkingAdvantage. 401(k) retirement plan with employer match. Paid training opportunities and Education Assistance Program. Employee Referral Bonus Program. Diversity Statement Excelsia Injury Care is an equal opportunity employer. We commit to a policy of nondiscrimination and equal opportunity for all employees and qualified applicants without regard to race, color, religion, creed, gender, pregnancy or related medical conditions, age, national origin or ancestry, physical or mental disability, genetic predisposition, marital, civil union or partnership status, sexual orientation, gender identity, or any other consideration protected by federal, state or local laws. #J-18808-Ljbffr Excelsia Injury Care

Vacancy posted 4 days ago
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