Charge Audit Analyst

This is a fully remote position, open to applicants in Arizona, +22 more states.

📋 Description

• Enhance the precision of outpatient clinical documentation coding and billing within the facility

• Provide training and guidance to clinical departments and coding personnel

• Conduct root-cause analysis to promote compliance in charging and coding accuracy

• Assist clinical teams in effectively documenting the services provided

• Clarify the correlation between documentation and billing for services rendered

• Evaluate health records to identify relevant facility billing charges and codes

• Utilize official coding and billing resources to ascertain appropriate charges and codes

• Manage multiple tasks and projects while adhering to productivity standards

• Liaise with senior leadership, departmental heads, clinical units, and coding teams

⛳️ Requirements

• High School Diploma or General Education Diploma (GED)

• CPC-Certified Professional Coder OR COC-Certified Outpatient Coder OR RHIA- Registered Health Information Administrator OR RHIT- Registered Health Information Technician

• 5 years of recent relevant experience

• Familiarity with medical terminology, disease processes, patient health record content, and the medical record coding process

• Basic understanding of anatomy, physiology, and pharmacology

• Knowledge of billing functions and components of charge description masters

• General understanding of Revenue Cycle applications, including Electronic Health Record systems

• Capability to meet productivity standards and handle multiple tasks/projects

• Compliance with Sutter Health policies and procedures

• Ability to maintain confidentiality

• Understanding of outpatient charging and coding specific to hospitals

• Familiarity with Medicare APC and OPPS reimbursement frameworks

• Comprehensive knowledge of medical and billing terminology, CPT, diagnosis codes, HCPCS, and revenue codes

• Awareness of government and/or commercial payer requirements

• Knowledge of Federal, State, and Local regulatory publications

• Understanding of Outpatient National Correct Coding Edits

• Ability to assess health records and identify relevant hospital/facility billing charges and codes

• Proficient in using CPT/HCPCS references, OPPS Manual, NCCI Manual, NUBC Manual, and other official coding/billing resources

• Strong project management capabilities

• Excellent interpersonal and communication skills

• Proficient in electronic medical records; EPIC experience preferred

• Proficient with Microsoft Office applications, including Excel, Word, and PowerPoint

• Effective organizational, prioritization, verbal and written communication, listening, problem-solving, and investigative skills

🏝️ Benefits

• Comprehensive benefits package

• Total rewards program

• Monday–Friday work schedule

• Day shift

• No weekend obligations