Chart Auditor - Glendale

About the role

Adventist Health Glendale is looking for a Chart Auditor for full-time, day shift, working onsite in Glendale, CA. This role supports the Revenue Management Department by auditing medical records and clinical documentation to ensure proper patient status placement, accurate coding, and defensible payer billing — focusing on clinical denials, observation services, documentation gaps, and payer requirements for authorization and coverage.

What you'll do

• Conduct concurrent audits of active cases to identify documentation and order issues in real time, preventing downstream denials.
• Apply InterQual or Milliman/MCG criteria to validate patient status decisions and payer medical necessity compliance.
• Review medical records to validate patient placement (inpatient vs. observation) against payer criteria and physician orders.
• Audit clinical denials to determine root cause and trends, recommending prevention strategies.
• Perform charge audits and account reconciliations.
• Track and trend denials, escalating systemic issues to the Director/Manager.
• Provide feedback to Coding and CDI teams regarding documentation needed for coding accuracy and DRG assignment.
• Partner with Case Management, Utilization Management, Medical Officer, and Physician Advisors on documentation and status changes.
• Educate providers and staff on documentation, status order accuracy, and denial prevention strategies.
• Monitor CMS, state, and commercial payer regulatory changes.

Requirements

• Associate's degree in Nursing or related clinical field: Required.
• Current licensed RN, medical provider (MD), or International Medical Graduate with valid credential: Required.

Nice to have

• Bachelor's Degree in Nursing (BSN) or Healthcare Administration.
• Prior experience in utilization review, case management, coding, or clinical auditing.

Schedule

Full time, day shift, onsite in Glendale, CA.