CHARGE AUDIT ANALYST

Archbold; Thomasville (GA); On-site; USD 65,000 - 85,000; Full time

Benefits offered by this job

Career growth

Medical & dental

Retirement plan

PTO

Life Insurance

Job summary

Archbold Medical Center in Georgia is seeking a Charge Audit Analyst in Surgery to perform concurrent and defense audits, coordinate third-party payor audits, and address patient inquiries about charges and services. This role requires strong knowledge of billing practices and clinical procedures.

You will research undocumented charges, recommend Chargemaster updates, and contribute to process improvement and reporting.

Qualifications

• Audit experience or knowledge of auditing practices and standards.
• Knowledge of health care compliance regulations and medical coding reimbursement.
• Extensive knowledge of clinical procedures, medical terminology, medical documentation and billing practices.
• Proficiency in word processing, spreadsheet applications, and database software.

Responsibilities

• Perform concurrent and defense audits
• Coordinate third party payor audits
• Address patient inquiries regarding charges and services
• Research all undocumented charges
• Make recommendations for Chargemaster additions/deletions
• Process improvement and reporting
• Investigate potential for new program and product development

Skills

Audit experience

Healthcare compliance

Medical coding

Clinical terminology

Communication skills

Education

GA RN License

Bachelor's degree preferred

Tools

Proficiency in word processing

Proficiency in spreadsheets

Proficiency in databases

Job description

Charge Audit Analyst - Surgery

Description

Perform concurrent and defense audits
Coordinate third party payor audits
Address patient inquiries regarding charges and services
Research all undocumented charges
Make recommendations for Chargemaster additions/deletions
Process Improvement and Reporting
Investigate potential for new program and product development

Education/Experience

Current GA RN License
Bachelor's degree preferred

2 Years Of Nursing Experience Required

Audit experience or knowledge of auditing practices, techniques and standards are desirable
Knowledge of health care compliance regulations and medical coding reimbursement is preferred
Must possess an extensive knowledge of clinical procedures, medical terminology, medical documentation and billing practices

Verbal And Written Communication Skills Are Essential

Proficiency in word processing, spreadsheet applications, and database software applications

Perks/Benefits

(for eligible employees):

• Have optimal opportunity for career growth within our growing organization
• Medical / Dental
• Retirement Plan
• PTO and paid life insurance

What Sets Us Apart

Archbold Medical Center is a four-hospital, four-nursing-home health system with 540 patient beds. We employ more than 2,500 people and boast an outstanding medical staff of nearly 200 qualified physician specialists. Our flagship hospital, Archbold Memorial Hospital, is a 264-bed hospital located in Thomasville, Georgia. Our system hospitals, also in Georgia, are Archbold Brooks Hospital in Quitman, Archbold Grady Hospital in Cairo, and Archbold Mitchell Hospital in Camilla.

For 100 years, Archbold has been synonymous with high-quality, compassionate medical care. While our exemplary facilities have helped us maintain an excellent reputation, our team members are what makes Archbold special.

You are unique. You have skills and a strong passion for helping people. You also have personal goals, and Archbold wants to help you achieve them. We are a diverse healthcare system that promotes teamwork, continuing education, and leadership, and we are committed to recruiting and retaining the best healthcare professionals to join our Archbold team.

What We Offer

We know that your time and expertise are valuable, and to help our employees be at their best and make the most of their employment experience, we offer a comprehensive and generous benefits package that helps our employees and their families meet the challenges of everyday living.

We strive to be a workplace of choice, and from high-quality medical and dental care benefits to retirement benefits that help build wealth for your future, Archbold is proud to offer our employees one of the best benefits packages in the area.

Below are a few of the benefits Archbold Medical Center offers to employees:

• Work/Life Balance
• Planning for the Future
• Low-Cost Prescriptions
• Health & Wellness Benefits
• Planning for Life’s Unexpected Moments
• Helping You to Advance Your Career

Mission

To provide safe, innovative and compassionate care for our communities.

Vision

A healthier region, stronger communities, meaningful work, trusted care.