Charge Capture & Revenue Compliance Lead

The Queen's Health Systems; Honolulu (HI); On-site; USD 70,000 - 95,000; Full time

Job summary

The Queen’s Health Systems is seeking a Revenue Cycle Auditor to ensure accurate charge capture and timely billing for hospital services in Hawaii. The role focuses on identifying compliance issues, addressing root causes, and implementing workflow improvements to prevent recurrence.

Qualified candidates will have a bachelor’s degree in a related field (master’s preferred), and at least three years’ experience across revenue cycle areas, with knowledge of CPT/HCPCS, ICD-9 coding, and

Qualifications

• Bachelor’s degree in Business Administration, Finance or Health Care Administration or four years progressive Revenue Cycle/Finance experience.
• Master’s degree in a related field preferred.
• Three years’ experience in two or more revenue cycle areas (e.g., patient access, charge capture, billing, follow-up) with lead or supervisory exposure.
• Knowledge of CPT/HCPCS, revenue code assignment, and ICD-9 coding.
• Knowledge of reimbursement regulations, Medicare/Medicaid requirements, and medical terminology.
• Proficiency in Word and Excel; experience with Epic systems and Crystal Reports.

Responsibilities

• Audit the charge capture process to ensure timely, accurate billing of all valid charges.
• Identify charge compliance issues and root causes; implement workflow changes to prevent recurrence.
• Monitor activities to protect the organization from penalties by ensuring accurate hospital billing.
• Provide education and training to departmental staff on charging procedures.

Skills

CPT/HCPCS knowledge

ICD-9 coding

Charge master understanding

Epic systems

Crystal Reports

Excel

Word

Education

Bachelor’s degree in Business Administration/Finance/Health Care Administration

Master’s degree preferred

Tools

Epic systems

Crystal Reports

Excel

Charge Master

Job description

The Queen’s Health Systems is seeking a Revenue Cycle Auditor to ensure accurate charge capture and timely billing for hospital services in Hawaii. The role focuses on identifying compliance issues, addressing root causes, and implementing workflow improvements to prevent recurrence.

Qualified candidates will have a bachelor’s degree in a related field (master’s preferred), and at least three years’ experience across revenue cycle areas, with knowledge of CPT/HCPCS, ICD-9 coding, and