Charge Analysis Associate

This is a fully remote position, open to applicants in United States.

📋 Description

• Take charge of the front end of the claims lifecycle for the billing department.

• Conduct daily audits of charges, examining clinical documentation to ensure accurate assignment of CPT, ICD-10, and HCPCS codes.

• Ensure that charges comply with payer-specific billing regulations and medical necessity criteria prior to submission.

• Proactively identify and rectify coding discrepancies before claims are submitted.

• Daily submission of clean claims via Apero and the clearinghouse.

• Oversee the claims system and monitor rejection queues from the clearinghouse.

• Investigate and resolve rejections swiftly to prevent issues with timely filing.

• Correct and resubmit claims that have been rejected, keeping track of each until acceptance.

• Remain updated on coding revisions, changes in payer policies, and industry regulations.

• Collaborate with Medical Billing Associates and the Medical Billing Team Lead to address recurring coding or rejection trends.

• Report directly to the Director of Revenue Cycle Management.

⛳️ Requirements

• At least 3 years of experience in medical billing and coding within a healthcare environment.

• Strong knowledge of coding standards (ICD-10, CPT, HCPCS), claim submission processes, and handling rejections from clearinghouses.

• Outstanding attention to detail and precision in code assignment.

• Familiarity with Apero or similar practice management/clearinghouse software is preferred.

• Experience in Sleep Medicine and/or DME billing is highly preferred.

• Professional coding certification (CPC, CCS, RHIT, or RHIA) is advantageous but not mandatory.

• A genuine interest in sleep, health, and assisting individuals in understanding and enhancing their well-being.

🏝️ Benefits

• Engaging work that significantly enhances people's lives.

• Join an international team spanning the US, France, and Belgium.

• Annual team retreat.

• Comprehensive health benefits including medical, dental, and vision coverage.

• Complimentary One Medical membership.

• 401(k) plan with company matching.

• 20 days of paid time off (PTO) plus 10 paid holidays and 80 hours of paid sick leave.

• Monthly stipend for phone and internet expenses.