JOB SUMMARY

The Clinical and Billing Auditor is responsible for the oversight and management of auditing and monitoring activities across the organization. Using a unique combination of clinical expertise and billing knowledge, this role monitors and improves the quality of clinical and financial documentation related to patient services. The auditor compares clinical and financial records to ensure that provided documentation supports the charges listed, helping to mitigate errors, prevent fraud, and optimize appropriate reimbursement.

ESSENTIAL JOB FUNCTIONS: List all essential job duties. (To perform this job successfully, an individual must be able to perform each essential duty listed satisfactorily with or without a reasonable accommodation. Reasonable accommodations may be made to enable qualified individuals with a disability to perform the essential duties unless this causes undue hardship to the agency.)