Charge Integrity Support Specialist - Revenue Integrity - Corporate Office - Day Shift - Full Time

Sharp HealthCare•San Diego, CA

6d•Onsite

About The Position

The Charge Integrity Support Specialist serves as the operational subject matter expert on charge integrity solutions and coordinates revenue enhancement opportunities for entities supported by the System Revenue Integrity Department, in alignment with Sharp HealthCare’s mission. The role reviews reports, work queues, and vendor portals to find and resolve potential lost, excessive, undocumented, duplicate, or late charges. It investigates root causes, identifies trends and systemic issues, recommends solutions, and follows up with departments and other contacts to support accurate, timely charge entry and revenue integrity. The specialist collaborates across clinical, coding, billing, operational, revenue integrity, finance, and leadership teams. The role also supports charge-integrity technology and processes, including charge capture entry, validation, reconciliation, and correction. Workflows and assignments are managed through prioritization, planning, and follow-through. The position is based at the Corporate Office and is listed as a day-shift, full-time role; shift start and end times vary, weekend work is required as needed, and on-call duty is not required.

Requirements

At least 1 year of experience with hospital and ambulatory care charging and coding practices, hospital revenue cycle, or contractual payment schemes.
California Department of Motor Vehicles driver's license.
Understanding of revenue cycle concepts and knowledge of clinical concepts.
Proficiency with Microsoft Office applications.
Reliable transportation and adequate personal insurance coverage.
Clean driving record in accordance with the employer DMV pull notice program and Sharp HealthCare Driver Guidelines.

Nice To Haves

At least 3 years of experience in a large hospital setting, medical group, or consulting company.
Certified Professional Coder (CPC) credential from AAPC.
Bachelor’s degree; relevant experience exceeding four years may be substituted for the degree.

Responsibilities

Review and follow up on daily reports, system work queues, and vendor portals to identify accounts with potential lost, excessive, undocumented, or duplicate charges.
Identify, trend, and report potential systemic charge integrity issues to the Charge Integrity Team.
Conduct root cause analyses of charge integrity issues and provide recommendations.
Follow up with departments to ensure charges are entered onto accounts in a timely manner.
Review reports to identify late charges; research, prioritize, and communicate charge integrity opportunities.
Maintain expertise in accurate charge entry and coding requirements and collaborate with coding compliance specialists.
Work collaboratively across disciplines and communicate with customers to find solutions; support key clinical areas as needed.
Maintain expertise in charge source criteria and IT interfaces from upstream systems.
Assist with deploying technology solutions and developing standard approaches, tools, reports, communications, policies, and procedures for system-wide use.
Review and follow up on issues in assigned work queues.
Coordinate with clinical, coding, billing, and operational contacts to resolve revenue integrity concerns in a timely manner.
Assign actions and turnaround times to appropriate parties, monitor progress and results, and report outcomes to management.
Contribute to analytical, technical, and operational problem-solving efforts.
Work with revenue integrity, finance, and clinical leadership to develop and implement charge capture entry, validation, reconciliation, and correction processes and supporting protocols, policies, and procedures.
Use strong organizational and project management skills to prioritize, plan, and execute workflows and tasks.
Comply with Sharp behavioral standards and keep current with developments in the profession, industry, and related fields.