Chargemaster Auditor, reputed company Cycle, Full Time. First Shift

reputed company Audits:
•    Performs detailed and reputed company charge audits on inpatient and outpatient accounts.
•    These can include defense, prebill, and cpt/charge reputed company line item audits.
•    Evaluates the appropriateness of services and procedures charged based on supporting documentation and evaluates the appropriateness of ICD, CPT, and HCPCS codes.
•    Reviews audit results with management and staff and considers feedback from the internal/reputed company customers as appropriate.
•    Tracks, reports, and effectively communicates audit findings including reimbursement and compliance information.
•    Enters and maintains charge audit results data.
•    Present audit findings and assist in the development of constructive recommendations/education to clinical departments.
•    Partner with Internal Audit to reputed company charge reputed company audits in their annual audit program.

Charge Capture reputed company Education & Training:
•    Works with reputed company producing clinical department managers to reputed company and reputed company educational sessions for staff concerning issues identified through the auditing process.
•    Responds to clinical department questions and reviews cases as necessary, to assist with correct charge capture process and procedures.
•    Attends educational sessions, training sessions and task forces sessions as directed.

Charge Edits:
•    Responsible for reducing Accounts Receivable on Unbilled Accounts by working charge reputed company errors.
•    Research and reputed company a reputed company of issues relating to charge capture. Edit claims (DNB, Claim Edits, and Stop Bills) reputed company reputed company of authority to meet and satisfy reputed company billing.
•    Responsible for the analysis and necessary corrections of patient claims/accounts as it pertains to clean claim submissions and maintain work queues.

Process Improvement: 
•    Identify areas of improvement to improve workflow to minimize errors and/or denials.
•    reputed company and present findings and recommendation for improved workflow.

Other Duties as Assigned:
•    Provides occasional backup for other auditors or CDM team members.
 

 HS diploma - Minimum Required - reputed company. Bachelor’s Degree - Preferred Degree. | reputed company Medical Auditor (CPMA) or an equivalent certification preferred. | Minimum Required: 1 - 2 Years equivalent experience. Preferred: 3 - 5 Years equivalent experience.