Clinical Charge Analyst
About The Position
The Clinical Charge Analyst performs detailed audits of inpatient and outpatient medical accounts by comparing clinical documentation, itemized billing, and departmental charging practices to ensure accuracy and regulatory compliance. Working collaboratively with clinical departments and revenue cycle teams, this role identifies discrepancies, evaluates financial impact, and supports timely resolution of charging issues. As part of a coordinated and detail-focused team, the Clinical Charge Analyst contributes analytical insight and clear communication to support accurate charge capture and consistent billing practices. Remote work may be permitted at management’s discretion.
Requirements
- Associate's degree (or equivalent working experience in health care patient care setting) required
- LPN, LVN, RN, RT, PT or OT required
- Experience with PCs, Outlook, word processing and spreadsheet software applications are desired.
- Strong quantitative, analytical, and organization skills
- Proficient in chart review, clinical record information systems, and some coding methodologies.
- Ability to understand and interpret medical records, hospital bills, and the charge master.
- Ability to understand all ancillary department functions.
- Ability to understand insurance terms (i.e. HMO/PPO, EOB, stop loss, etc.) and payment methodologies
- Ability to communicate orally and in written form
- Ability to utilize and understand computer technology
- Must be team oriented with strong interpersonal skills
Nice To Haves
- Bachelor's degree preferred.
- Previous clinical auditing experience preferred.
Responsibilities
- Review medical records, itemized bills, and departmental documentation to validate charge accuracy.
- Identify discrepancies and summarize audit findings, including financial implications.
- Collaborate with departments to resolve charge issues and improve charging practices.
- Support compliance with billing, documentation, and charge capture guidelines.
- Maintain working knowledge of coding principles, billing rules, and charging processes.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
