Revenue Integrity Charge Auditor; Remote

Overview

Employer Industry: Healthcare Services

• Salary up to $69.82 per hour
• Opportunity for career advancement and growth within the organization
• Supportive and collaborative work environment
• Chance to make a positive impact on patient billing accuracy and compliance
• Work with a leading healthcare provider committed to patient-centered care

• Perform defensive charge audits and special audit projects, comparing itemized bills to medical records
• Conduct audits for Medicare/Medicaid Cost Outlier accounts prior to billing, ensuring accuracy
• Collaborate with the Chargemaster team to optimize charge integrity
• Prepare written reports of audit findings and present recommendations to management
• Research and communicate federal and state documentation and billing rules

• Bachelor’s degree in a work-related discipline/field required
• Minimum of three (3) years of progressively responsible and directly related work experience
• Knowledge of ICD-10 and CPT coding conventions and Medicare billing practices
• Ability to analyze complex problems and communicate effectively in written and verbal formats
• RN, CCS, CPC, or RHIT/RHIA certification required

• Familiarity with Epic EMR and charge capture workflows
• Working knowledge of DRG/APC reimbursement models
• Proficient in Microsoft Excel, Word, and Power Point

#Healthcare Services #Medical Billing #Career Opportunity #Competitive Pay #Patient Care

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