Charge Capture Specialist | Audit & Compliance

Uintah Basin Medical Center; Roosevelt (UT); On-site; USD 40,000 - 65,000; Full time

Job summary

Uintah Basin Medical Center is seeking a Revenue Integrity/Charge Capture Auditor to review patient charges and ensure documentation aligns with payer guidelines. You will verify that charges are captured accurately and in a timely manner.

The role emphasizes accuracy and compliance within the charge capture process. Responsibilities include conducting reviews within 3 days of discharge, performing audits to identify missed charges, and collaborating with coding, billing and clinical staff to

Qualifications

• Review clinical documentation to ensure all service charges are accurately captured per payer guidelines.
• Conduct charge reviews within 3 days of discharge.
• Adhere to Medicare, Medicaid and third-party payor rules.
• Perform audits to identify missed charges and opportunities for process improvement.
• Collaborate with coding, billing and clinical teams to resolve issues.

Responsibilities

• Reviews clinical documentation to ensure all service charges are accurately captured in accordance with payer guidelines.
• Conducts charge reviews within 3 days of discharge.
• Adheres to rules from regulatory bodies like Medicare and Medicaid, as well as other third-party payors.
• Conducts audits to identify missed charges, reduce errors, and find areas for improvement within the charge capture process.
• Works with various departments, such as coding, billing, and clinical care, to solve problems and improve processes.
• Reports any problems to the department manager.

Skills

Charge capture

Medical records

Auditing

Payer guidelines

HIPAA knowledge

Job description

Uintah Basin Medical Center is seeking a Revenue Integrity/Charge Capture Auditor to review patient charges and ensure documentation aligns with payer guidelines. You will verify that charges are captured accurately and in a timely manner.

The role emphasizes accuracy and compliance within the charge capture process. Responsibilities include conducting reviews within 3 days of discharge, performing audits to identify missed charges, and collaborating with coding, billing and clinical staff to