Experience Inc. Jobs

Contract

Job # 24538 Charge Auditor

Acclivity Healthcare - Your personable, proven partner!

Since 1999, Acclivity Healthcare has served the specialized recruiting and staffing needs of leading healthcare employers nationwide. Our clients range from independent physician practices to national healthcare systems and insurance providers. We are proud of our 18,000+ successful placements with quality-oriented organizations that recognize the value of better talent.

Compensation and Schedule for the Charge Auditor

Charge Auditor – Full-time, work-from-home, $25-$35 per hour, Monday – Friday, 8:00am to 5:00pm or 8:00am to 4:30pm within Arizona time zone. Join a positive team!

Required Qualifications of the Charge Auditor

• 3+ years of recent inpatient auditing experience required

• AAMAS and CMS guidelines knowledge required

• High school diploma or GED required

• Must successfully pass a criminal background check and drug screen

Job Summary for the Charge Auditor

Perform charge audits to validate accurate revenue capture and to ensure services were medically supported and properly documented. Work closely with various departments to educate staff, and to provide payment integrity and reduce denials. Communicate all audit findings with the necessary parties.

Responsibilities of the Charge Auditor

• Perform reviews for charge integrity to include audits of the following: medical record documentation (EMR) to support clinical and financial outcomes, revenue cycle processes, coding validation related to CDM issues (CPT/HCPCS code applications), compliance coding, appropriate billing, operational workflows, and other processes which affect appropriate charge integrity

• May assist with additional audits, including RAC, Payer Defense Requests, Patient Complaint, OIG, and C-suite requested audits

• Complete medical record reviews for charge integrity in a timely manner

• Work with third party auditors to identify and support documentation as requested for medications, implants, treatments, supplies and equipment

• Identify gaps in charge capture and work collaboratively with the department to reduce future charge loss, providing training and education when appropriate

• Review medical record for quality, medical necessity, coding clarification, and risk management as requested

• Through reviews and/or interaction with clinical areas, identify charge capture opportunities and work with clinical areas to implement processes to accurately capture charges

• Interact with internal/external audit teams to review charging practices

• Analyze internal/external trends to determine educational, system, and/or process gaps

• Work with Audit and Education Specialists to assist claim audits and understanding on missed charges based on clinical documentation

About the Company

This well-known and successful healthcare system has remained a symbol of quality for over 25 years. They are the 5th largest healthcare system in the nation, with more than 60,000 caregivers and staff who deliver excellent care to diverse communities in 21 states. They have won numerous awards as a top healthcare employer because of the great work environment and commitment to their employees’ growth and success. This organization has an immediate need for a skilled and outgoing Charge Auditor to join their team!

Health Advocates Network, Inc. is an equal opportunity employer. All qualified applicants shall receive consideration for employment without regard to any legally protected basis under applicable federal, state or local law, except where a bona fide occupational qualification applies. EOE including Veterans/Disability