Charge Audit Specialist

Zotec Partners
2dRemote

About The Position

At Zotec Partners, our People make it happen. Transforming the healthcare industry isn’t easy. But when you build a team like the one we have, that goal can become a reality. Our accomplishments can’t happen without our extraordinary people – the men and women across the country who make up our diverse Zotec family and help make this company a best place to work. Over 25 years ago, we started Zotec with a clear vision, to partner with physicians to simplify the business of healthcare. Today we are more than 900 employees strong and we continue to use our incredible talent and energy to bring that vision to life. We are a team of Innovators, Collaborators and Doers. We’re seeking a Charge Audit Specialist to join us. This is a remote position. As a Charge Audit Specialist, you will drive audit process improvements, reporting and automation for the overall improvement of client billing.

Requirements

  • Bachelor’s degree or comparable education in a technical field from an accredited university
  • Microsoft SQL experience
  • Knowledge of medical billing processes, including CPT codes
  • Proficiency with different formats of electronic data and hospital systems.
  • 3+ years of analytical and reporting experience, preferably in a healthcare environment
  • Proficient in Microsoft Suite of products including Excel, Access, PowerPoint and Word
  • Strong analytical skills and problem solving with attentiveness to detail
  • Excellent analytical, communication and organizational skills
  • Ability to work in a team environment
  • Ability to confidently interpret reports and answer client questions
  • Ability to analyze information to identify exceptions, trends, opportunities
  • Ability to function well in a fast-paced team environment
  • Ability to understand critical issues and bring appropriate resolution
  • Professionally exercises discretion and independent judgment in day-to-day work

Nice To Haves

  • HL7 data experience preferred

Responsibilities

  • Lead detailed conversations with physician group/client service leaders, operations teams, and coding and billing experts to validate information identified during historical data analysis; work with these resources to bridge any remaining gaps in their historical charging workflows
  • Implement charge capture process automation to eliminate existing manual processes and lead charge audit process improvement projects
  • Monitor daily productivity regarding identifying missing charges and efficient ways in retrieving data for billing purposes
  • Execute SQL queries to gather historical charging & billing data to help research order vs. performed
  • Utilize analytical skills to work with complex data to identify trends, workflow issues, and root cause of issues to prevent potential issues from reoccurring
  • Promote internal teamwork and build effective client relationships to meet all charge audit requirements and expectations
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