Medical Chart Scrubber/Biller/Documentation Review Specialist

We are seeking a detail-oriented Medical Chart Scrubber to support our clinical and revenue integrity teams. This role focuses on reviewing patient charts for accuracy, completeness, and compliance prior to billing, while also assisting with documentation improvement, audits, and quality initiatives across the practice.

Primary Responsibilities:

• Review medical charts prior to billing submission
• Ensure provider documentation supports ICD-10, CPT, and HCPCS coding
• Identify and correct missing, incomplete, or inconsistent documentation
• Flag compliance or audit-risk issues
• Communicate documentation findings with providers and internal teams

Additional Responsibilities:

• Assist with documentation improvement and provider education
• Support internal audits and compliance reviews
• Help identify trends in documentation issues and suggest process improvements
• Collaborate with coding, billing, and clinical staff to support clean claims
• Collaborate and assist the Authorizations and Referrals Department
• Participate in quality improvement and revenue integrity initiatives as needed
• Perform other related administrative or clinical documentation support tasks

Qualifications:

• 2-3 years of experience preferred in medical chart review, coding, CDI, auditing, or compliance
• Working knowledge of medical terminology and provider documentation standards
• Familiarity with ICD-10, CPT, and CMS documentation requirements
• Experience using EHR systems
• Strong attention to detail and organizational skills

Preferred:

• CPC, CCS, CPMA, COC, CRC, or similar certification
• Specialty practice experience (ophthalmology or multispecialty)
• Prior audit or compliance experience
• EMR-Nextech preferred but not required