Auditor, Clinical Services

Job description

Overview Concentra is recognized as the nation’s leading occupational health care company. With more than 40 years of experience, Concentra is dedicated to our mission to improve the health of America’s workforce, one patient at a time. With a wide range of services and proactive approaches to care, Concentra colleagues provide exceptional service to employers and exceptional care to their employees. The Clinical Services Auditor is responsible for conducting comprehensive audits of occupational healthand therapy billing services to ensure adherence to federal, state, and organizational compliancestandards. Operating under the direction of the Compliance & Coding Audit Manager, the role supportsConcentra’s compliance framework by identifying risk, promoting billing integrity, and ensuring accurateand compliant documentation and billing practices. Responsibilities: - Perform scheduled and ad hoc audits of occupational health and therapy billing, coding, and documentation, with emphasis on services billed to payors. - Evaluate occupational health and therapy-related coding for accuracy, medical necessity, timebased coding compliance. - Assess compliance with applicable federal and st...