Behavioral Health Auditor

Behavioral Health Auditor Overview

• The Behavioral Health Auditor will oversee compliance and quality assurance within behavioral health documentation processes.
• Conduct audits of clinical documentation to ensure adherence to regulatory standards and best practices.
• Collaborate with leadership to develop corrective action plans and improve documentation workflows.
• Provide constructive feedback to clinical staff regarding documentation requirements and compliance.
• Ensure documentation supports appropriate clinical care, billing, and regulatory standards.
• Maintain confidentiality and comply with HIPAA and applicable privacy requirements.
• Work closely with the Behavioral Health leadership team to enhance chart quality and compliance workflows.
• Participate in internal reviews, mock audits, payer audits, and regulatory audits.
• This role offers the opportunity to make a meaningful impact in a dynamic healthcare environment.

Behavioral Health Auditor Key Responsibilities & Duties

• Conduct regular audits of behavioral health charts and clinical documentation.
• Review progress notes, intake assessments, treatment plans, safety plans, and screenings.
• Identify documentation gaps, trends, and areas requiring follow-up or staff retraining.
• Prepare clear audit findings and reports for leadership and clinical supervisors.
• Support corrective action plans related to documentation and compliance findings.
• Assist with internal reviews, mock audits, payer audits, and regulatory audits.
• Provide professional and constructive feedback to clinical staff regarding documentation requirements.
• Collaborate with the Behavioral Health leadership team to improve chart quality and compliance workflows.
• Ensure documentation supports appropriate clinical care, billing, and regulatory standards.

Behavioral Health Auditor Job Requirements

• Master's degree in Social Work, Mental Health Counseling, or a related behavioral health field required.
• Acceptable credentials include MSW, MHC-LP, LMSW, LCSW, or LMHC.
• Minimum of 2 years of experience in behavioral health chart review or compliance.
• Preferred experience of 4 years in quality assurance or clinical documentation review.
• Knowledge of behavioral health documentation standards, treatment planning, and progress notes.
• Experience in a clinic, community health center, or similar healthcare setting preferred.
• Strong attention to detail and ability to identify documentation deficiencies.
• Excellent written and verbal communication skills.
• Comfortable working with EMR systems and audit tracking tools.