Charge Audit Analyst, Full-Time/Days

Mercy; St. Louis (MO); On-site; USD 52,000 - 78,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Tuition assistance

Matched retirement plans

Job summary

Mercy St. Louis is seeking a role focused on auditing patient charges for accuracy and completeness.

The incumbent will verify that all surgical charges are captured and that pre-certification is completed where required, working with multiple departments to resolve issues and reduce denials. Experience in billing or coding within a clinical setting is preferred, along with the ability to identify chargeable supplies and implants.

Qualifications

• High school diploma or GED required.
• Experience in billing and/or coding in a clinical setting.
• Knowledge of charge data entry/integrity processes and guidelines to determine chargeability.

Responsibilities

• Audit accuracy and completeness of patient charges.
• Ensure pre-certification for all surgical patients and collaborate with other departments.
• Investigate surgical case denials and support process improvements.

Skills

Charge data entry

Identify chargeable items

OR charge process understanding

Interpersonal skills

Communication

Time management

Knowledge of implant charges

Education

High school diploma or GED

Job description

Find your calling at Mercy!

Performs a clinical audit of the accuracy and completeness of patient charges. The clinical charge audit is to ensure that all appropriate charges are captured per patient. Ascertains that pre-certification has been completed for all surgical patients and works collaboratively with other departments to accomplish it. Investigates surgical case denials.

Position Details:

Mercy St. Louis- Administration/Billing

615 S New Ballas Rd
Saint Louis, MO 63141

Education: High school diploma or GED required.
Experience: Previous clinical expertise or knowledge and experience in billing and/or coding in a clinical setting.

Other: Must possess the ability to identify supplies and/or other patient charges that are associated with specific procedures and/or surgeon practices. Knowledge of implant practices and equipment usage is extremely valuable based on the high cost of these line items.

Other skills necessary include an understanding of the entire OR patient charge process; guidelines for determining if an item is chargeable; charge data entry/integrity process; integration with patient billing. Uses correct grammar and punctuation in written documents. Writes letters, plans, reports, and memos that are easily understood and stated in a concise manner in keeping with the hospital standard. Past experiences have demonstrated good interpersonal skills and the ability to communicate effectively with others. Demonstrates the ability to address complex problems and propose viable solutions using logical and sound judgment. Good time utilization is necessary.

Why Mercy?

• From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period.

Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us.