Clinical Chart Auditor
We are a growing behavioral health practice committed to providing high-quality, ethical, and compliant care. As we continue to expand, we are seeking a Clinical Chart Auditor to strengthen our documentation quality, ensure compliance, and support operational excellence.
Description
Position Overview
The Clinical Chart Auditor reports directly to the Clinical Director and is responsible for overseeing the quality, accuracy, and compliance of clinical documentation across the practice. This role plays a key part in mitigating audit risk, supporting timely reimbursement, and upholding documentation standards.
In addition to conducting chart audits, this individual will generate and monitor compliance reports related to documentation timeliness, completion, and quality, helping to identify trends and enforce accountability across the clinical team.
This position is ideal for someone who is highly detail-oriented, confident in identifying deficiencies, and comfortable providing clear, direct feedback to clinicians.
Key Responsibilities
- Conduct routine and ongoing audits of clinical documentation (e.g., intake assessments, progress notes, treatment plans, medical necessity)
- Ensure compliance with payer guidelines, HIPAA regulations, and organizational standards
- Run and analyze compliance reports related to documentation timeliness, completion rates, and quality metrics
- Identify documentation deficiencies, trends, and areas of risk across providers
- Provide clear, direct, and actionable feedback to clinicians regarding required corrections and expectations
- Track, document, and report audit findings to the Clinical Director
- Support enforcement of documentation deadlines and compliance standards
- Collaborate with leadership to improve workflows and documentation processes
- Assist with audit readiness and risk mitigation efforts to protect the organization from financial and regulatory risk
Qualifications
- 2–3 years of clinical documentation experience in a behavioral health setting, preferred
- Prior experience in chart auditing, utilization review, compliance, or quality assurance strongly preferred
- Strong knowledge of medical necessity criteria and payer documentation requirements
- Experience running reports within an EHR (e.g., SimplePractice, TherapyNotes, or similar) preferred
- Familiarity with HIPAA and behavioral health regulations
- Exceptional attention to detail and organizational skills
- Ability to work independently and manage time effectively
Preferred Skills & Traits
- High level of integrity and commitment to compliance
- Direct, confident communication style with the ability to hold clinicians accountable
- Strong analytical skills with the ability to interpret and act on data from compliance reports
- Comfortable identifying errors and enforcing documentation standards
- Ability to balance thoroughness with efficiency
Why Join Us
- Flexible, part-time schedule
- Direct collaboration with leadership and meaningful impact on clinical quality
- Opportunity to build and strengthen compliance systems within a growing organization
- Supportive, mission-driven team environment