Chargemaster Auditor, Full Time, First Shift, Remote

Job description

The Charge Master Auditor is responsible for executing charge related audits. They assist in evaluating compliance related services that resolve charging discrepancies and provide charging related outreach education to clinical departments on charging processes and procedures. Instrumental in working Infusion related edits and providing education to our Infusion Clinical Departments. Perform Audits: - Performs detailed and focused charge audits on inpatient and outpatient accounts. - These can include defense, prebill, and cpt/charge code 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/external 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 perform charge related aud...