Compliance and Audit Support

Protect your practice. Strengthen your revenue integrity.

Our Virtual Compliance & Audit Support Specialists help healthcare organizations maintain regulatory compliance, reduce audit risk, and ensure accurate documentation and coding — keeping your revenue cycle clean and compliant from start to finish.

What Our Compliance & Audit Support Specialists Do

  • Conduct internal coding and documentation audits
  • Review charts for ICD-10, CPT, and modifier accuracy
  • Evaluate E/M levels and medical necessity compliance
  • Identify and correct billing or documentation gaps
  • Prepare for payer, Medicare, and internal audits
  • Create audit reports with corrective action plans
  • Provide education and feedback to coding and billing staff
  • Monitor ongoing compliance metrics and follow-up on improvements
  • Ensure all workflows follow HIPAA, OIG, CMS, and payer guidelines

Key Benefits of Hiring Virtual Compliance & Audit Support

 Early issue detection — find and fix compliance gaps before audits

 Reduce legal and financial risk — stay aligned with CMS & OIG rules

 Improve coding accuracy — cleaner claims and fewer denials

 Transparent audit reporting — detailed reports and trend analysis

 HIPAA-compliant workflows — secure data handling at all times

 Certified specialists — CPC, COC, CCS, and CPMA certified experts

 Scalable support — periodic audits or ongoing compliance monitoring

Why Compliance & Audit Support Matters

  • Prevent costly recoupments, penalties, and denials
  • Detect and correct errors before payer audits occur
  • Maintain regulatory confidence and ethical standards
  • Protect provider reputation and patient trust
  • Improve documentation quality and coding accuracy
  • Strengthen overall revenue integrity

Day to Day Responsibilities

  • Perform random and focused coding audits
  • Review documentation for compliance with payer guidelines
  • Generate detailed audit summaries with findings and accuracy scores
  • Recommend corrective actions and staff training
  • Track re-audit performance and improvements
  • Maintain secure audit logs and documentation

Our Areas of Expertise

  • E/M Audits — outpatient, inpatient, and telehealth
  • Surgical Audits — operative note and modifier review
  • HCC Risk Adjustment Reviews
  • Compliance Policy Development
  • Pre-Submission Quality Checks
  • Post-Payment Audit Preparation

Tools & Systems We Use

  • EHR/EMR Systems: Epic, Athenahealth, eClinicalWorks, Kareo, NextGen, Cerner, AdvancedMD
  • Audit Tools: 3M, Optum, TruCode, Audit Manager, EncoderPro
  • Reporting & Communication: Secure VPN, encrypted portals, and shared dashboards

Why Choose Our Virtual Compliance & Audit Team

  • Certified professionals with multi-specialty experience
  • Detailed audit reports with actionable recommendations
  • Regular training on CMS, OIG, and payer policy updates
  • Support for both retrospective and concurrent audits
  • Customizable audit plans — monthly, quarterly, or per-encounter
  • Dedicated account manager for easy coordination

Who We Support

  • Physician practices and specialty groups
  • Hospitals and outpatient facilities
  • Billing and RCM companies
  • Start-ups needing compliance structure and internal controls

Our 3-Step Audit Process

1. Assessment & Planning — identify key risk areas and documentation patterns.
2. Audit & Reporting — perform chart audits and generate detailed findings.
3. Feedback & Improvement — deliver education, re-audit, and continuous compliance tracking.

Reporting & KPIs

  • Coding accuracy rate
  • Error rate by provider or specialty
  • Denial trends linked to documentation gaps
  • Compliance score improvements over time

Get Started Today

  • Free compliance & audit readiness consultation
  • Certified, experienced, and HIPAA-trained auditors
  • Flexible engagement options — per-audit, monthly, or full-time support

 Strengthen your compliance — Schedule a Free Audit Review Today!

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