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Sr Charge Auditor - Full Time, Days (CORP)
Location:
Orange, CA
Description:
The Revenue Integrity Senior Charge Auditor is responsible for monitoring and ensuring the charge integrity of chargeable and billed patient care services in accordance with industry best practices within local, Federal, and State regulations and guidelines. Incumbent will perform departmental, focused, or specific account charge audits for accuracy to identify areas of charge capture improvement, staff education needs, and prepare unbiased charge audit summary results to share with hospital leadership and executive teams to prevent revenue leakage. The Senior Charge Auditor will also serve as a liaison to facilitate charge education and process improvements.n n Prospect Medical Holdings' ability to deliver quality, compassionate care during the unprecedented pandemic affirms the original vision of its founders. This is the fulfillment of the hopes Prospect's founders had for the company, and proof that a clear vision, an insightful operating model, and a commitment to communities and our employees, born in the past, remains the way of the future. n n n n n n Every day, our more than 11,000 affiliated physicians and 18,000 employees at 17 hospitals, 165 outpatient centers and 28 medical groups provide nationally recognized care in six states. Our comprehensive network of quality healthcare services is designed to offer our patients and 600,000 members highly coordinated, personalized care tailored to the unique needs of each community we serve-many of which provide essential medical services to underserved communities as safety-net hospitals. n nRequired Qualifications: • Bachelor's degree or relevant Charge Audit experience • Seven (7) to Ten (10) years previous audit experience in a hospital or provider charge audit setting • Must be able to effectively communicate verbally and in written formats • Computer literacy and proficiency • Knowledge of CPT, ICD10, HCPCS Coding Structure • Expertise in clinical documentation • Extensive understanding of CCI edits, CPT, HCPCS, ICD-10-CM, and Revenue codes. • Extensive knowledge of Revenue Cycle and Revenue integrity Processes, Registration, Medical Records Coding, Government, and Managed Care billing rules, coverage, payment, and compliance. • Ability to read medical charts and dictation to understand chargeable services performed and correlation to chargeable services on the bill (UB-04). • Must demonstrate expert customer service skills Preferred Qualifications: • CHRI, CRIP, AHIMA or other Revenue Integrity certifications • CPC, CCS, CPMA, or other coding certifications Pay Rate: Min - $93,800 | Max - $140,700 * Conducts comprehensive charge audit, charge analytics, research root causes, and recommends solutions to improve workflows, increase efficiency, and reduce revenue leakage. Utilizes analytics to identify missing charges, verify charge integrity or compliance issues. * Prepares written charge audit results to communicate potential risks and recommends charge capture process improvements to reduce revenue leakage. * Provides charge education and training to department leaders and staff on current rules and regulations to increase efficiency, charge awareness, accuracy, to reduce charge compliance risks. * Serves as an integral part of the Charge Audit committee to report audit findings to local facility leadership and Executive Teams. * Reviews daily Suspense Report for items requiring charge audit review and communicates the needed charge corrections to the appropriate department. * Functions as Revenue Integrity Liaison between the CBO, HIM, Allscripts, Nursing, Compliance, and other departments to facilitate charge related process improvements, education, and charge compliance. * Conducts comprehensive charge audit, charge analytics, research root causes, and recommends solutions to improve workflows, increase efficiency, and reduce revenue leakage. Utilizes analytics to identify missing charges, verify charge integrity or compliance issues. * Prepares written charge audit results to communicate potential risks and recommends charge capture process improvements to reduce revenue leakage. * Provides charge education and training to department leaders and staff on current rules and regulations to increase efficiency, charge awareness, accuracy, to reduce charge compliance risks. * Serves as an integral part of the Charge Audit committee to report audit findings to local facility leadership and Executive Teams. * Reviews daily Suspense Report for items requiring charge audit review and communicates the needed charge corrections to the appropriate department. * Functions as Revenue Integrity Liaison between the CBO, HIM, Allscripts, Nursing, Compliance, and other departments to facilitate charge related process improvements, education, and charge compliance.
Company:
Prospect Medical Holdings
Posted:
June 27 on Equest
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More About this Listing: Sr Charge Auditor - Full Time, Days (CORP)
Sr Charge Auditor - Full Time, Days (CORP) is a Accounting & Finance Auditor Job at Prospect Medical Holdings located in Orange CA. Find other listings like Sr Charge Auditor - Full Time, Days (CORP) by searching Oodle for Accounting & Finance Auditor Jobs.
Sr Charge Auditor - Full Time, Days (CORP) is a Accounting & Finance Auditor Job at Prospect Medical Holdings located in Orange CA. Find other listings like Sr Charge Auditor - Full Time, Days (CORP) by searching Oodle for Accounting & Finance Auditor Jobs.