Charge Capture Integrity Auditor​/Analyst

Contract to Hire

** Job # 25246 Charge Capture Integrity Auditor/Analyst*
* ** 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 Capture Integrity*
* ** Auditor/*
* ** Analyst*
* Charge Capture Integrity Auditor/Analyst - Full-time, work-from-home, $29-$35 per hour, Monday to Friday, 8:00am to 5:00pm. Join a growing team!

** Required Qualifications of the Charge Capture Integrity*
* ** Auditor/*
* ** Analyst*
* - 3+ years of recent charge capture-related billing, coding, revenue cycle, or compliance experience required

- Valid coding certification (CPC, CCS, CPC-H, or CIC) required

- Bachelor's degree in healthcare administration, finance, business administration, or a related field preferred

- High school diploma or GED required

- Must successfully pass a criminal background check and drug screen

** Responsibilities of the Charge Capture Integrity*
* ** Auditor/*
* ** Analyst*
* - Analyze and conduct regularly scheduled chart audits and education for Physicians, APPs and other billable providers by evaluating education needs from audit results

- Analyze and conduct audits for focused requests such as internal reviews, program & payment integrity reviews, payor programs

- Participate in facilitation of audit process from time it is received to completion of request

- Research and communicate regulatory requirements and payor policies that impact charging and reimbursement for the areas assigned

- Identify education and improvement opportunities for accuracy, outliers, and missed revenue by utilizing data such as: revenue, RVUs, denials, CPTs by specialty, lag days in documentation to provide education to operational leaders and Physicians, APPs and other billable providers

- Train departments on charge reconciliation and monitor to ensure charge reconciliation is happening in the areas assigned

- Monitor open encounters to ensure the chart is closing within policy guidelines

- Educate Physicians, APPs and other billable providers, practice leaders and revenue cycle on annual coding updates and drive necessary EPIC revisions

- Work with leadership to roll out new codes as applicable and timely

- Analyze and ensure codes dropping are correct for all services rendered outside of that coded by HIM

- Support operational leaders on efforts and initiatives related to charge capture, documentation, and reimbursement items

- Collaborate with other departments and vendors to research where shared responsibilities for coding alignment or impact is needed

** About the Company*
* This well-known and successful healthcare system has remained a symbol of quality for nearly 40 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. This organization has won numerous awards as a top healthcare employer because of its excellent work environment and commitment to their employees' growth and success.

This organization has an immediate need for a skilled Charge Capture Integrity Auditor/Analyst 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