Audit Specialist in Atlanta, Georgia at Chartpro Inc

JOB SUMMARY

The Audit Team Specialist is responsible for fulfilling high-volume, payer- and vendor-driven chart audit requests, retrieving and preparing medical records for risk-adjustment, quality, and compliance audit programs. This role ensures records are pulled accurately and completely from client EHR systems, formatted to audit-program specifications, and submitted within contracted turnaround-time and quality standards.

ESSENTIAL DUTIES & RESPONSIBILITIES

• Retrieve and process bulk chart audit requests submitted by third-party audit vendors and payer programs (e.g., risk-adjustment, HEDIS/quality, and compliance audit initiatives).

• Locate and pull specified encounters, chart sections, and documentation from client EHR and legacy systems based on audit request specifications.

• Validate that pulled records match requested date-of-service, provider, and encounter criteria before submission.

• Upload or transmit completed record sets through designated vendor portals or secure file-transfer platforms within required SLA windows.

• Track and reconcile audit request volume, completion status, and any outstanding or rejected records against project worklists.

• Identify missing, incomplete, or unlocatable records and escalate to the Team Lead or client contact for resolution.

• Maintain strict adherence to HIPAA and minimum-necessary standards when handling bulk audit data.

• Meet established daily/weekly production quotas and quality-accuracy benchmarks for audit projects.

• Communicate with internal teams and external audit program contacts regarding request status and file specifications.

• Document all audit activity accurately in the audit tracking system for reporting and reconciliation.

QUALIFICATIONS

Education: High school diploma or equivalent required; Associate degree or health information management coursework/certification preferred.

Experience: Minimum 1 year of experience in medical records, health information management, or medical chart review required. Prior experience supporting payer or third-party audit programs (e.g., risk-adjustment or quality-measure record pulls) preferred.

KNOWLEDGE, SKILLS & ABILITIES

• Working knowledge of HIPAA and minimum-necessary disclosure standards for bulk/audit data.

• Familiarity with EHR navigation and medical record structure/terminology.

• Strong attention to detail when matching records to audit specifications (dates of service, providers, encounter type).

• Ability to manage high-volume worklists and meet strict, vendor-driven turnaround deadlines.

• Comfort working within multiple secure vendor portals and file-transfer systems.

• Strong organizational and reconciliation skills for tracking large batches of requests.

PHYSICAL REQUIREMENTS & WORK ENVIRONMENT

• Ability to sit for extended periods at a computer workstation.

• Occasional lifting of up to 20 lbs. (e.g., record boxes, office supplies).

• Repetitive use of hands/wrists for keyboarding and mouse use.

• Visual acuity sufficient to review and cross-check detailed medical documentation on screen.

Standard office environment with typical lighting, noise, and temperature conditions. Work is performed at a computer workstation for the majority of the shift, often against project-based volume deadlines.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position. Employees or applicants needing an accommodation should contact HR; see ChartPro's ADA Reasonable Accommodation and Interactive Process Policy (1.HR.09).

REMOTE WORK ELIGIBILITY

Not eligible at entry level. Remote work may be considered after a minimum of 6 months of tenure, demonstrated full competency in role, and no active disciplinary actions, subject to business need and manager approval. Eligibility is revocable based on performance or operational requirements.