Charge Audit Specialist

Saint Luke's Health System; Kansas City (MO); Remote; USD 52,000 - 75,000; Full time

Job summary

Saint Luke's Health System is seeking a Billing/CDM Specialist to support charging accuracy within clinical departments. The role emphasizes correcting charges, preventing payment errors, and serving as a resource for CDM data entry.

You will liaise between clinical and PA departments to resolve issues and drive process improvements. Responsibilities include managing work queues, sharing trend insights with management, and participating in monthly team meetings.

Qualifications

• 3–5 years of applicable experience.

Responsibilities

• Support charging accuracy among clinical departments and correct charges.
• Serve as system resource for CDM data entry and payment error prevention.
• Collaborate with clinical and PA departments to resolve charge issues.
• Manage assigned work queues and complete accounts in queue.
• Participate in team meetings and charge correction projects.
• Review patient records to validate documentation for charges.

Skills

CDM data management

Tools

EPIC WQ's

Job description

Job Description

Represents BJC in supporting charging accuracy among clinical departments. Demonstrates knowledge and technical expertise of the PA patient management and case management system to correct charges and promote billing accuracy. Demonstrates critical thinking in CDM data management assignments. Responds to requests serves as a system resource in resolution of charging problems data entry of CDM items and payment error prevention. Serves as a liaison and resource between clinical and PA departments. This position is remote in the Kansas City area. Experience in EPIC WQ's is ideal. Collaborates with Patient Accounts, HIM, UR, Charge Audit, Charge Management and/or other charging departments as appropriate for charge issue resolution and process improvement. Manages assigned work queues and completes accounts in queue in a timely manner. Shares trends with Manager and/or Charge Management service line analyst so they can provide education to staff. Utilizes system and department reference material to ensure appropriate processes and guidelines are being followed. Assists with charge correction projects as needed. Attends and participates in monthly team meetings and attends in person quarterly team meetings. Charge Audit dept. only: Manages metro facility mailboxes and responds to requests to assist charging departments with questions, issues and charge correction. Performs charge capture for non-infusion charges for OB departments as some metro facilities. Reviews patient medical records and validates documentation to support charges. #LI-CM1

Job Requirements

Applicable Experience: 3-5 years

Job Details

Full Time Day (United States of America) Saint Luke's Health System includes 18 hospitals and campuses across the Kansas City region, home care and hospice, behavioral health care, dozens of physician practices, a life care senior living community, and more. Find out more about what Saint Luke's offers: http://www.saintlukeskc.org/about-saint-lukes