Average Salary for Jobs with Medical Records Audit Skills

Conducts the medical review activities needed to resolve and process clinical appeals and claims. Reviews applicable medical records and assesses clinical data to investigate and resolve disputes over the medical necessity for services, approvals, pre-certifications, or other cases. Understands and interprets applicable medical terminology, clinical procedures, regulations and policies. Documents ... View job details

Directs daily operation of record processing to ensure that discharge records are properly received, organized, and forwarded to the appropriate physician for completion. Audits medical records to guarantee compliance with institution standards, procedures and policies. May require a bachelor's degree in area of specialty. Typically reports to a supervisor or manager. Typically requires 2 to 4 yea... View job details

Conducts medical record audits in hospitals, clinics, physician's offices, and other parent care facilities to ensure that documentation meets required standards and regulations. Maintains up-to-date information on all the standards set by JCAHO, Medicare, Medicaid, and other entities relating to medical records. Reviews patient accounts for coding accuracy and completeness. Prepares audit reports... View job details

Researches and develops the pre-certification insurance policy standards and criteria used by case management and utilization reviewers that will ensure that requested medical services are appropriate and medically necessary. Collaborates with medical professionals to resolve questions about policy development and standards. Assigns correct ICD, CPT, or other coding assignments for medical procedu... View job details