Revenue Integrity – Charge Capture Auditor

Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).

Job Purpose:

The Charge Capture Auditor performs reviews of charge capture and coding related issues by reviewing medical records on behalf of hospitals and physician practices. This position requires critical thinking and judgment and must demonstrate the ability to appropriately use standard criteria established by CMS Guidelines and hospital policy. Audit and analysis must be accurate and consistent to ensure a high level of quality, knowledge of laws, rules, regulations and guidelines necessary for charging and billing compliance, and protection of health information.

Essential Duties & Responsibilities:

• Audit patient accounts daily as assigned using Meditech expanse, Charge Capture Audit ("CCA") module, and accounts assigned by the Client to decide charge accuracy based on documentation, compliance, and system related issues.
• Review medical record for accuracy of surgery level assignment to correctly coincide with procedures performed.
• Review visits and perform charge research and edit clearing for visits identified by the Client and according to Client policy as well as documentation and compliance requirements.
• Daily review of patient accounts and assigned Epic work queues for clinical and billing issues and correcting issues before billing.
• Participate in a monthly meeting to review results of the project upon Client request; and
• Provide patient log identifying patient accounts reviewed including detailed charge discrepancies and resolution by charge code.

Minimum Qualifications:

• RN/LPN/LVN/Surgical Tech or coding certificate
• 1-3 years of Meditech Expanse experience
• 1-3 years of clinical or coding auditing experience in hospitals or physician practices
• Comprehensive knowledge of department charge capture and charge reconciliation
• Familiarity with medical records review, claims processing, and the overall revenue cycle
• Fundamental knowledge of CMS guidelines
• Skilled in Microsoft Excel, Word, PowerPoint, and Outlook
• Able to quickly learn new, proprietary-based software applications
• Excellent analytical, organizational, verbal and written communication skills
• Professionalism in both appearance and approach
• Ability to prioritize effectively

Savista is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. The salary range for this role is from $28.00 to $32.00 per hour. However, specific compensation for the role will vary within the above range based on many factors including but not limited to geographic location, candidate experience, applicable certifications, and skills.

SAVISTA is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class.

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Originally posted on Himalayas