Charge Audit Specialist

Saint Luke's Physician Group•Kansas City, MO

6d•Remote

About The Position

Represents BJC in supporting charging accuracy among clinical departments. Demonstrates knowledge and technical expertise of the PA patient management and case management system to correct charges and promote billing accuracy. Demonstrates critical thinking in CDM data management assignments. Responds to requests, serves as a system resource in resolution of charging problems, data entry of CDM items, and payment error prevention. Serves as a liaison and resource between clinical and PA departments. This position is remote in the Kansas City area. Experience in EPIC WQ's is ideal. Collaborates with Patient Accounts, HIM, UR, Charge Audit, Charge Management and/or other charging departments as appropriate for charge issue resolution and process improvement. Manages assigned work queues and completes accounts in queue in a timely manner. Shares trends with Manager and/or Charge Management service line analyst so they can provide education to staff. Utilizes system and department reference material to ensure appropriate processes and guidelines are being followed. Assists with charge correction projects as needed. Attends and participates in monthly team meetings and attends in person quarterly team meetings. Charge Audit dept. only: Manages metro facility mailboxes and responds to requests to assist charging departments with questions, issues and charge correction. Performs charge capture for non-infusion charges for OB departments as some metro facilities. Reviews patient medical records and validates documentation to support charges. #LI-CM1

Requirements

3-5 years of applicable experience.
Knowledge and technical expertise of the PA patient management and case management system.
Critical thinking skills in CDM data management.
Experience in EPIC WQ's is ideal.
Ability to collaborate with Patient Accounts, HIM, UR, Charge Audit, Charge Management and/or other charging departments.
Ability to manage assigned work queues and complete accounts in a timely manner.
Ability to utilize system and department reference material.
Ability to attend and participate in monthly team meetings and in person quarterly team meetings.
Ability to manage metro facility mailboxes and respond to requests.
Ability to perform charge capture for non-infusion charges for OB departments.
Ability to review patient medical records and validate documentation.

Nice To Haves

Experience in EPIC WQ's

Responsibilities

Supports charging accuracy among clinical departments.
Corrects charges and promotes billing accuracy using PA patient management and case management system.
Performs CDM data management assignments.
Resolves charging problems, enters CDM items, and prevents payment errors.
Acts as a liaison and resource between clinical and PA departments.
Collaborates with various departments for charge issue resolution and process improvement.
Manages assigned work queues and completes accounts in a timely manner.
Shares trends with management for staff education.
Ensures appropriate processes and guidelines are followed using system and department reference material.
Assists with charge correction projects.
Attends monthly team meetings and in-person quarterly team meetings.
Manages metro facility mailboxes and responds to requests for assistance with charging departments.
Performs charge capture for non-infusion charges for OB departments at some metro facilities.
Reviews patient medical records and validates documentation to support charges.