FREE ACCESS
5,000–10,000 jobs/day
See all jobs on Scoutfield
Search thousands of fresh jobs every day.
Discover
- Fresh listings
- Fast filters
- No subscription required
Create a free account and start exploring right away.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Behavioral Health auditing, including quality reviews, root cause analyses, and mentoring auditors. Proficient in Behavioral Health coding, billing, and documentation standards, with a strong ability to communicate findings and recommendations effectively.
Highest-signal resume keywords
Behavioral Health CodingQuality Review ExperienceRoot Cause AnalysisMentoring AuditorsBehavioral Health Services Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Behavioral Health AuditingQuality MonitoringClinical DocumentationAudit ValidationPayer RequirementsICD-10 CodingModifier ApplicationDocumentation StandardsCorrective Action RecommendationsOverpayment Identification
Soft Skills
Constructive FeedbackCommunicationTeam CollaborationIndependent WorkTime Management
Tools & Technologies
Microsoft ExcelMicrosoft PowerPointMicrosoft OutlookMicrosoft Word
Certifications & Qualifications
CCSRHIARHITCPCRegistered NurseMSW
Industry Keywords
Behavioral HealthMental HealthSubstance Use Disorder TreatmentComplianceRegulatory PoliciesNCCI GuidelinesOfficial Coding GuidelinesPayer PoliciesAudit ConceptsQuality Trends
About the role
Key responsibilities & impact- Review the accuracy and consistency of Behavioral Health auditors’ work and classifications
- Perform random and targeted quality reviews of Behavioral Health audits
- Verify findings and no-findings against medical record documentation and applicable guidance
- Conduct root cause analyses of errors, quality trends, and missed opportunities
- Mentor Behavioral Health auditors and provide timely, constructive feedback
- Review initial audits, appeals, and other assigned audit work
- Identify and escalate potential recovery opportunities outside assigned audit concepts
- Recommend process improvements for quality, consistency, documentation standards, and performance
- Communicate quality results, trends, concerns, and recommendations to peers and management
- Perform duties in accordance with company compliance, information security, and regulatory policies
Requirements
What you’ll need- Minimum of five years of experience with Behavioral Health services, including mental health and substance use disorder treatment
- One or more of the following credentials preferred: CCS, RHIA, RHIT, CPC, Registered Nurse, or MSW
- Strong knowledge of Behavioral Health coding, billing, clinical documentation, payer requirements, and applicable regulatory guidance
- Prior experience conducting retrospective Behavioral Health audits to identify overpayments preferred
- Experience performing quality reviews, secondary reviews, peer reviews, or audit validation for coding or clinical audit teams preferred
- Experience identifying quality trends, conducting root cause analyses, and recommending corrective actions
- Experience mentoring auditors and providing feedback based on quality review results preferred
- Ability to review Behavioral Health medical records and determine whether audit findings are accurate, complete, and appropriately supported
- Knowledge of Behavioral Health coding, billing, modifier application, documentation requirements, payer policies, Medicare, and NCCI guidelines
- Ability to write clear, professional audit notes using Official Coding Guidelines, the ICD-10 Coding Handbook, Coding Clinic, payer policies, and other applicable references
- Ability to mentor auditors and provide instruction through quality reviews and audit feedback
- Advanced Behavioral Health auditing and quality monitoring skills
- Strong technical aptitude and ability to learn new systems quickly
- Proficiency with Microsoft Excel, PowerPoint, Outlook, and Word
- Ability to work independently and in a team environment
- Ability to complete tasks efficiently and work effectively under deadlines
Benefits
Comp & perks- Remote work flexibility
- Up to 10% annual travel for team meetings and limited client onsite engagements
- Opportunities for growth and mentorship through a structured coaching program
- Collaborative culture where ideas and insights are valued
- Real opportunities for advancement
- Fast-paced, innovative work environment
- Opportunity to impact healthcare delivery nationwide