Charge Audit Analyst

Sutter Health • Sacramento, CA

90d • $33 - $62 • Remote

About The Position

Responsible for activities which improve the accuracy of facility outpatient clinical documentation coding and charging, including education with the clinical departments and coding staff and root cause correction to support accurate charging and coding in compliance with policies. The analyst assists clinical areas to effectively document services and understand the relationship of documentation and charging for the services provided in accordance with policies and procedures.

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 recent relevant experience.
• Knowledge of medical terminology, disease processes, patient health record content, and the medical record coding process.
• Basic knowledge of anatomy, physiology, and pharmacology.
• Familiarity with billing functions and the components of a charge description master.
• General knowledge of Revenue Cycle applications, including Electronic Health Record systems.
• Ability to work concurrently on a variety of tasks/projects in a fast-paced environment.
• Ability to comply with Sutter Health policies and procedures.
• Ability to work with and maintain confidential information.
• Understanding of hospital-based outpatient charging and coding.
• Knowledge of Medicare APC and OPPS reimbursement structures.
• In-depth knowledge of medical and billing terminology, common procedure terminology, diagnosis codes, healthcare common procedure coding system, and revenue codes.
• Knowledge of government and/or commercial payer requirements.
• Knowledge of Federal, State, and Local regulatory publications.
• Knowledge of Outpatient National Correct Coding Edits.
• Demonstrated ability to review a health record and determine applicable charges/codes for hospital/facility billing.
• Demonstrated ability to utilize official coding/billing resources.
• Possesses strong project management skills.
• Possesses strong interpersonal skills.
• Demonstrates skilled ability and comfort with electronic medical records (EPIC preferred).
• Proficient with Microsoft Office applications (Excel, Word, PowerPoint).
• Effective organizational skills with the ability to prioritize and manage multiple functions.
• Effective verbal and written communication skills.
• Strong problem solving and investigative skills.

Responsibilities

• Improve the accuracy of facility outpatient clinical documentation coding and charging.
• Educate clinical departments and coding staff.
• Support accurate charging and coding in compliance with policies.
• Assist clinical areas in documenting services effectively.
• Understand the relationship of documentation and charging for services provided.

Benefits

• Comprehensive benefits package.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Hospitals
• Education Level: High school or GED