Travel Pharmacy Charge & Compliance Analyst

Adventist Health System West - AS

Roseville (CA)

On-site

USD 95,000 - 110,000

Full time

3 days ago

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Job summary

Adventist Health System West - AS seeks a System Pharmacy Charge & Compliance Analyst for a travel assignment in Roseville, CA. The role supports accurate charging, billing, and compliance across outpatient departments, with a focus on 340B, payer requirements, and audit readiness.

The position requires three years of hospital pharmacy experience, active Pharmacy Technician license, and preferred advanced certifications.

Qualifications

Active State Pharmacy Technician license required.
Three years of experience in hospital or health system pharmacy, revenue integrity, billing, or compliance.
Preferred certifications in Pharmaceutical Technician Board; preferred CHRI/CRCR/340B ACE.

Responsibilities

Supports accurate medication charging, billing, and reimbursement across outpatient hospital departments.
Ensures medication-related charges are complete, accurate, compliant, and aligned with regulatory requirements.
Serves as a liaison between pharmacy operations, revenue cycle, compliance, and finance.
Reviews and reconciles medication charges in outpatient encounters and monitors UB-04 claim accuracy.
Validates NDC-to-HCPCS mapping, billable units, and appropriate modifiers per guidelines.
Ensures compliance with 340B, GPO, and WAC pricing policies.
Collaborates with departments to maintain audit readiness and supports audits.
Identifies and corrects charge capture errors prior to billing and assists in denial resolution.