Charge Audit Specialist

Boston, MA 0210902111 | Contract

Post Date: 07/19/2018 Job ID: 81576 Specialty: Accounting & Finance

Our client in Somerville, MA is seeking a Charge Audit Specialist to join their team. In this contract role, you will assist the Charge Audit team as well as coordinate charge audits, which are conducted for facilities within the company’ s network in accordance with the Charge Audit Policy and establish departmental policies/procedures. This position pays up to $19/hr - apply today!

Responsibilities for the Charge Audit Specialist:
  • Print itemized bills and profiles for all cases submitted on letter of intent notifications by Audit Representatives
  • Check status of claim balance for the audits in claim system (EPIC)
  • Send out itemized bills and profiles to the Audit Representatives 30 days prior to the scheduled audits
  • Schedule audits and enter information into the audit management tool
  • Schedule medical records retrieval for audits and provide the Audit Representative the date of the scheduled audit
  • Document findings and final outcomes of all accounts reviewed by the Audit Representative in Epic as needed
  • Assist as needed with other Charge Audit activities, including coverage for vacations

Requirements for the Charge Audit Specialist:
  • Knowledge of:
    • Format and content of a medical record and various forms of medical/clinical documentation
    • Medical Terminology and coding including CPT and HCPCS
    • State and Federal regulations concerning the use, disclosure and confidentiality of patient records
    • Auditing principles and standards as applicable to charge audits
    • Billing and charge capture procedures and claim forms, such as the UB92
  • Strong data entry skills
  • Strong organizational and time management skills
  • Ability to interact with all levels of health care personnel and hospital/finance management
  • Ability to work independently in a role that requires flexibility in an environment that is deadline driven
  • Experience with computer software programs such as Word and Excel are required
  • Ability to function as a department resource with a focus on contributing to the achievement of departmental and corporate goals
  • Must be eligible to work in the U.S. without sponsorship                     
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