Revenue Integrity – Charge Capture Auditor

Role Overview

• Audit patient accounts daily as assigned using Meditech expanse, Charge Capture Audit ("CCA") module, and accounts assigned by the Client to decide charge accuracy based on documentation, compliance, and system related issues.
• Review medical record for accuracy of surgery level assignment to correctly coincide with procedures performed.
• Review visits and perform charge research and edit clearing for visits identified by the Client and according to Client policy as well as documentation and compliance requirements.
• Daily review of patient accounts and assigned Epic work queues for clinical and billing issues and correcting issues before billing.
• Participate in a monthly meeting to review results of the project upon Client request; and
• Provide patient log identifying patient accounts reviewed including detailed charge discrepancies and resolution by charge code.

Requirements

• RN/LPN/LVN/Surgical Tech or coding certificate
• 1-3 years of Meditech Expanse experience
• 1-3 years of clinical or coding auditing experience in hospitals or physician practices
• Comprehensive knowledge of department charge capture and charge reconciliation
• Familiarity with medical records review, claims processing, and the overall revenue cycle
• Fundamental knowledge of CMS guidelines
• Skilled in Microsoft Excel, Word, PowerPoint, and Outlook
• Able to quickly learn new, proprietary-based software applications
• Excellent analytical, organizational, verbal and written communication skills
• Professionalism in both appearance and approach
• Ability to prioritize effectively.