Chart Review Specialist
hace 2 días
New York
Job DescriptionChart Review Specialist - Hybrid (Contract) Please Note - Only candidates who meet the required certifications, auditing experience, and hybrid onsite availability will be considered. Official Title: Chart Review Specialist $45 - $50/hour | Contract through Medix | Hybrid (Midtown Manhattan) Start Date: January 5 (Firm - no flexibility) Schedule: Monday-Friday, 9:00 AM - 6:00 PM (1-hour lunch) Onsite: Monday, Tuesday, Thursday; Remote Work: Wednesday and Friday Location: Midtown Manhattan (Madison Ave & 33rd Street) About the Role Medix is partnering with a Healthcare Technology organization to identify a Senior Medical Coding & Audit Specialist to support advanced medical record audits, revenue integrity initiatives, and audit validation efforts. This is a hybrid, contract role intended for highly experienced coding and auditing professionals who are comfortable navigating complex payer rules, full-chart audits, and specialty-specific billing scenarios. The selected candidate will act as a subject matter expert (SME) and collaborate closely with technology and analytics teams to improve automated decision-making. Key Responsibilities * Perform detailed medical record audits to ensure compliance with medical necessity guidelines, modifier usage, and payer-specific billing requirements. * Analyze complex billing scenarios, including Medically Unlikely Edits (MUEs) and specialty-specific carve-outs, identifying issues not captured by automated rules engines. * Serve as a coding and auditing SME, providing guidance on specialty standards, payer contracts, and regulatory requirements. * Collaborate with technology and analytics teams as an "Expert-in-the-Loop," delivering clear, actionable feedback to improve data validation and automated models. * Review entire patient charts to identify underbilling trends, missed revenue opportunities, and proactive denial risks. * Translate clinical reasoning and audit findings into structured insights that support process optimization and continuous improvement initiatives. Required Qualifications * Active AAPC or AHIMA certification (CPC, CPMA, or CCS-P required). * Extensive experience conducting medical record audits, with advanced understanding of medical necessity guidelines and modifier logic. * Strong knowledge of MUEs, specialty-specific carve-outs, and payer/contract-specific billing rules. * Demonstrated ability to interpret complex reimbursement and regulatory guidance with attention to nuance and detail. * Experience collaborating cross-functionally with technology, analytics, or data teams. * Strategic mindset with the ability to assess revenue cycle performance holistically. * Ability and willingness to work onsite in Midtown Manhattan three days per week (Monday, Tuesday, Thursday). Preferred Qualifications * Experience supporting or training automated auditing or revenue cycle technology platforms. * Strong analytical skills with the ability to identify trends, root causes of denials, and underpayment risks. * Excellent communication skills, particularly in translating complex clinical and regulatory findings into actionable feedback. Schedule, Location & Equipment * Schedule: Monday-Friday, 9:00 AM - 6:00 PM (1-hour lunch) * Hybrid Requirement: Onsite Monday, Tuesday, Thursday * Location: Midtown Manhattan (Madison Ave & 33rd Street) * Equipment: Laptop provided * IT Deposit: $50 deducted from each of the first 10 paychecks ($500 total); fully refundable upon contract completion or conversion Compensation & Benefits (Through Medix) * Pay Rate: $45 - $50/hour (DOE) * Weekly payroll * Medical, dental, vision, short-term disability, and life insurance * Benefits eligibility after averaging 30 hours/week for 4 consecutive weeks For California Applicants: We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA). This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients. Company DescriptionHere at Medix, we are dedicated to providing workforce solutions to clients throughout multiple industries. We have been named among the Best and Brightest Companies to Work For in the Nation for two consecutive years. Medix has also been ranked as one of the fastest growing companies by Inc. Magazine. Our commitment to our core purpose of positively impacting 20,000 lives affects not only the way we interact with our clients and talent, but also with our co-workers! The goal is lofty, but it is made attainable through the hard work and dedication of our teams and their willingness to lock arms together. Are you ready to lock arms with us?Here at Medix, we are dedicated to providing workforce solutions to clients throughout multiple industries. We have been named among the Best and Brightest Companies to Work For in the Nation for two consecutive years. Medix has also been ranked as one of the fastest growing companies by Inc. Magazine.\r\n\r\nOur commitment to our core purpose of positively impacting 20,000 lives affects not only the way we interact with our clients and talent, but also with our co-workers! The goal is lofty, but it is made attainable through the hard work and dedication of our teams and their willingness to lock arms together. Are you ready to lock arms with us?