Charge Auditor

TriHealth•Cincinnati, OH

12h•Remote

About The Position

Join TriHealth as a Medical Charge Auditor! TriHealth empowers Medical Charge Auditors to make a meaningful impact on financial accuracy and patient care by performing detailed, concurrent audits that directly support optimal reimbursement and operational excellence. In this role, you’ll apply your clinical background, analytical skill set, and understanding of hospital billing to identify charge discrepancies, collaborate with clinical departments, and contribute to systemwide improvements. You’ll work with advanced applications, sharpen your knowledge of CPT/HCPCS coding, and engage in continuous learning as healthcare regulations evolve — all while serving as a trusted liaison between patient care teams and Revenue Management. As one of the region’s most respected healthcare systems, TriHealth offers a culture rooted in collaboration, integrity, and professional growth. Team members benefit from strong leadership support, opportunities for skill development, and a workplace that values accuracy, innovation, and shared success. Joining TriHealth means becoming part of an organization committed to high‑quality care, operational excellence, and creating an environment where employees feel supported and empowered to thrive. Apply today and grow your career with a team that truly values you.

Requirements

Associate’s degree or Diploma in Healthcare; Nursing science or radiological science/technology
An overall understanding of hospital charging/billing and reimbursement methodologies which includes basic understanding of CPT/HCPCS code sets
Strong MS Office Excel and Outlook skills
3-4 years’ experience Clinical in Healthcare Nursing or radiologic technology
Strong knowledge or ability to learn MS Excel and Outlook is needed as well as understanding of medical terminology, medical procedures and general hospital operations.

Nice To Haves

The Medical Auditor must be able to navigate and run multiple applications simultaneously.

Responsibilities

Performs concurrent review of hospital bills to document unbilled, under billed and over billed items/services.
Submits charge documents as required by each facility to reconcile charges to items/services documented in the medical record.
Meets productivity standards balancing productivity and quality of accurate charge identification.
Performs accurate review of charts, clinical record information, disease process and coding methodologies.
Works closely with hospital departments to improve charging accuracy and collaborates with Revenue Management staff to identify and implement revenue opportunities.
Prepares reports as required by management regarding audit results, process improvement recommendations and systemic billing errors.
Demonstrates proficiency in the use of all internal software applications.