On Demand / New Day Recovery LLC

IT Support

• Coordinate and manage behavioral health payer audits, denials, and utilization review activities
• Prepare and submit audit responses, appeals, and supporting clinical documentation
• Defend medical necessity and level-of-care determinations using ASAM Criteria
• Conduct peer-to-peer reviews and manage payer appeal processes
• Monitor audit trends, documentation concerns, and compliance risks
• Collaborate with clinical, compliance, and revenue cycle teams to improve payer outcomes and audit readiness
• Provide documentation guidance and education related to medical necessity standards

Clinical Audit Specialist