Audit Analyst

McLaren Health CarePetoskey, MI

About The Position

Reviews and interprets medical documentation to determine billable charges within the surgical services departments. Assists the surgical services areas in maintaining and developing necessary charges. Ensures accurate billing of surgical patients. Works collaboratively with Finance, Billing, Purchasing, and Information Services.

Requirements

  • One to two years of formal education or training beyond High School in Surgical Technology
  • Five years of prior work experience in an Operating Room

Nice To Haves

  • Associates degree in Nursing
  • Two years of prior auditing/billing experience
  • Current State of Michigan RN license

Responsibilities

  • Reviews medical documentation and billable charges. Adjusts the patient’s detailed charges to correspond with the documentation.
  • Provides timely communication to surgical services management staff regarding charging and documentation issues.
  • Responsible for assigning charge capture number to products used within surgical services including the creation of new charge codes.
  • Add miscellaneous charges directly to patient’s bill as needed. Creating new charge codes as needed.
  • Perform daily charge audit between Surgical Services application and Finance system. Will reconcile patient charges to ensure completed and accurate patient bills.
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