Charge Audit Analyst, Full-Time/Days

About the role

Performs a clinical audit of the accuracy and completeness of patient charges to ensure that all appropriate charges are captured per patient. Ascertains that pre‑certification has been completed for all surgical patients and works collaboratively with other departments to accomplish it. Investigates surgical case denials.

Location: Mercy St. Louis – Administration/Billing, 615 S New Ballas Rd, Saint Louis, MO 63141.

Responsibilities

• Perform clinical audit of patient charge accuracy and completeness.
• Ensure all appropriate charges are captured per patient.
• Verify pre‑certification for all surgical patients.
• Collaborate with other departments to complete pre‑certification.
• Investigate surgical case denials.

Requirements

• High school diploma or GED required.
• Previous clinical expertise or knowledge and experience in billing and/or coding in a clinical setting.

Skills

• Ability to identify supplies and/or other patient charges associated with specific procedures and/or surgeon practices.
• Knowledge of implant practices and equipment usage (valuable due to high cost line items).
• Understanding of the entire OR patient charge process.
• Knowledge of guidelines for determining if an item is chargeable.
• Charge data entry/integrity process and integration with patient billing.
• Correct grammar and punctuation in written documents.
• Ability to write letters, plans, reports, and memos that are easily understood and concise per hospital standards.
• Good interpersonal skills and effective communication.
• Ability to address complex problems and propose viable solutions using logical and sound judgment.
• Good time utilization.

Benefits

• Medical, dental, and vision coverage.
• Paid time off.
• Tuition support.
• Matched retirement plans for team members working 32+ hours per pay period.

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