Charge Audit Analyst, Full-Time/Days

MHM Support Services; St. Louis (MO); On-site; USD 45,000 - 65,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Job summary

Mercy St. Louis is seeking a clinical billing auditor to verify the accuracy and completeness of patient charges and ensure pre-certification for surgical cases. The role requires collaboration with multiple departments to achieve compliant charge capture and efficient pre-authorization processes.

You will investigate surgical denials, identify discrepancies, and support improvements in the OR charge workflow, with emphasis on accuracy, compliance, and clear documentation.

Qualifications

• Must have clinical expertise or knowledge and experience in billing and/or coding in a clinical setting.
• Ability to identify supplies and/or other patient charges that are associated with specific procedures; knowledge of implant practices valuable.
• Understanding of the entire OR patient charge process; guidelines for determining if an item is chargeable; charge data entry/integrity process.
• Good written communication and interpersonal skills; ability to address complex problems with clear, concise writing.

Responsibilities

• Perform a clinical audit of the accuracy and completeness of patient charges.
• Ensure pre-certification has been completed for all surgical patients and collaborate with other departments to accomplish it.
• Investigate surgical case denials.
• Contribute to a team effort to optimize charge capture and billing integrity.

Skills

Billing knowledge

Clinical experience

Interpersonal skills

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.

Writing & Interpersonal

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.

Benefits

• medical, dental, and vision coverage
• paid time off
• tuition support
• matched retirement plans for team members working 32+ hours per pay period

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.

Our Mercy health system history

Transforming the Health of Our Communities Our Mercy health system was founded by the Sisters of Mercy in 1986. But our heritage goes back more than 195 years. It began with an Irish woman named Catherine McAuley, who was determined to help women and children in Dublin experiencing poverty. Though Catherine had a modest upbringing, she received an unexpected inheritance that allowed her to fulfill that dream. In 1827, she opened the first House of Mercy in Dublin, intending to teach skills to women and educate children. Many volunteers came to help. A few years later, Catherine founded the Sisters of Mercy, one of the first religious orders whose Sisters were free to walk among the poor and visit them in their homes. In 1843, the Sisters of Mercy came to the United States. In 1856, they traveled to St. Louis. In the years to come, they would establish hospitals throughout the Midwest. Many of these would join together in 1986 as Mercy.