Charge Audit Specialist - Medical Billing I On-site I BGC, Taguig

Industry Category	Healthcare	Position	Diagnosis / Others
Recruitment Department		Number Of Recruits	several
Work Location	All Cities	Nature Of Work	Full Time
Gender Requirements	Male	Marriage Requirement	No marital status restrictions
Education Level	Open to all levels	Work Experience	No work experience restrictions
Age Requirement	Above 18 years old	Salary Package	Negotiable
Updated Date	2022-10-01	Valid Until	Long-term validity

The Charge Audit Specialist is responsible for ensuring that all appropriate billing charges are being captured, documented, charged and reimbursed for the assigned department in accordance with policies and procedures, and applicable regulatory standards and requirements. They will also plan, conduct and evaluates reviews and audits of clinical documentation and billing practices for conformity with applicable regulatory requirements (training will be provided). The Charge Audit Specialist will identify proactive opportunities to strengthen charge capture processes, enhance regulatory compliance and facilitate appropriate revenue capture. They will also respond to third-party audits as well as charge recovery vendor solution audits. Finally, they will provide training and education to clinical/charging staff and management on appropriate documentation and charge capture processes.

Responsibilities and Duties

• Conducts reviews/audits to identify potential charging and billing issues including lost revenue opportunities; prepares reports based on findings, and provides summary of findings to impacted partners [70%]

• Identifies, researches and analyzes charging and billing errors and/or omissions, working with appropriate staff/team members; ensures that revisions/corrections forwarded and incorporated in processing systems in timely manner. [10%]

• Stays current with CMS, AHA and state coding/charging and reimbursement guidelines – training and on the job coaching will be provided. [10%]

• Other duties as assigned to meet client expectations that would include root cause analysis, research of complex charging issues, implementation of corrective actions and provide subject matter expertise during system upgrades and implementations. [10%]

Audits and reviews medical documentation for appropriate ICD and CPT coding and documentation.

• Analyzes medical records and identifies documentation deficiencies.

A leading fortune 500 Hospital and Healthcare company just opened it's Philippine office in Bonifacio Global City, Taguig. Be part of the pioneer shared services team and make a positive impact to the community.We are a community built on care. Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing. Your community is our community.Our company is a healthcare services company headquartered in Dallas, Texas. We operate 65 hospitals and approximately 500 other healthcare facilities across the US. The company is listed in the NYSE.