Charge Integrity Specialist - Revenue Integrity

Job description

Your job is more than a job Under the direction of the Manager of Revenue Integrity, the Charge Integrity Specialist is responsible for reviewing and validating patient charges before billing to ensure accuracy and compliance with coding and billing regulations. The role involves working collaboratively to resolve discrepancies and improve the overall charge capture process by identifying trends and themes. The Charge Review Specialist ensures that all charges are accurately reflected in patient accounts and that any issues are promptly addressed. The position receives general oversight by the Charge Review Coordinator. GENERAL DUTIES: - Review patient charges to validate they are accurately entered and supported by clinical documentation. - Ensure charges match the procedures and services provided, using appropriate charge capture standards. - Assist in daily resolution of revenue integrity edits that prevent accounts from billing, by reviewing the medical record and applicable documentation. - Expected to identify and investigate discrepancies or missing charges in patient accounts with the intent to resolve. Report issues and participate in the resolution of any potential or act...