Remote Revenue Integrity Auditor: Charge Capture & Compliance

ECU Health; Greenville (NC); Remote; USD 57,000 - 83,000; Full time

Benefits offered by this job

Great Benefits

Job summary

ECU Health in Greenville, NC seeks a Charge Capture Reconciliation Auditor to lead audits across the Health System, develop corrective action plans, and maintain Third Party Billing compliance. You will report findings via monthly scorecards and assist leadership in improving compliance across departments.

You will train departments, collaborate with Revenue Integrity leadership, and ensure accurate charging in EPIC EAP/CDM, using Excel for data analysis and presenting clear recommendations to

Qualifications

• Bachelor's Degree preferred.
• 3 - 4 years of experience required.
• RHIA/RHIT certification preferred.
• Knowledge, Skills & Abilities required: supervision, computers, etc.
• Physician Billing Charging and/or Coding Experience is preferred.
• Demonstrated ability to manage, teach and assume responsibility.
• Strong interpersonal communication skills, verbal and written.
• Ability to communicate with all levels of staff.
• Working knowledge of PC-based applications (Word, Excel, PowerPoint, Outlook).
• Ability to function as a leader, team member and execute outcomes.
• Creative, positive problem-solving abilities.
• Foster collaboration among multiple parties.
• Plan, organize and present ideas to groups.
• Think conceptually and apply concepts practically.
• Assimilate information from diverse sources and decide actions.
• Consider diverse opinions in decision-making.
• Commitment to high standard of customer service.

Responsibilities

• Ensure compliance of ECU Health Charge Capture Reconciliation Policy across all revenue generating departments.
• Lead and facilitate a robust audit program monitoring charge reconciliation reports and work queues.
• Maintain facility-specific scorecards with corrective action plans and recognition for compliant departments.
• Escalate non-compliant departments to leadership and oversee corrective actions and training.
• Conduct monthly Revenue Integrity Audit Scorecard Read-Out to facility leadership.
• Share monthly audit results and corrective actions with finance and clinical leadership.
• Stay up-to-date on Third Party Billing Regulations and EPIC/EAP/CDM applicability and compliance.
• Answer charging questions professionally; function independently and communicate clearly.
• Maintain EPIC or related EAP system functionality and use Excel to manipulate and analyze data.

Skills

Interpersonal communication

Leadership

Independent decision making

Customer service

Collaboration

Education

Bachelor's Degree preferred

RHIA/RHIT certification preferred

Tools

EPIC EAP/CDM

Excel

Word

PowerPoint

Outlook

Job description

ECU Health in Greenville, NC seeks a Charge Capture Reconciliation Auditor to lead audits across the Health System, develop corrective action plans, and maintain Third Party Billing compliance. You will report findings via monthly scorecards and assist leadership in improving compliance across departments.

You will train departments, collaborate with Revenue Integrity leadership, and ensure accurate charging in EPIC EAP/CDM, using Excel for data analysis and presenting clear recommendations to