Charge Auditor

Major Responsibilities

• Responsible in ensuring all appropriate patient charges are accurately processed using a working knowledge of the EMR System
• Ensures that patient billing for all Cath/IR/EP procedures are accurate and processed within three business days.
• Mainters and enters all implant billing to assure accurate patient charges.
• Aid in developing and maintaining supply charges in coordination with Materials Manager, Business Manager, and the EMR Information Systems.
• EMR chart auditing for correct documentation and charge entry.
• Reconciliation and scheduling of all invasive procedures.
• Knowledge and maintenance of EMR including compliance from a regulatory billing perspective.
• Obtain and maintain an excellent working knowledge of the EMR.
• Obtain and maintain knowledge of the systems reporting capabilities for running reports as required and/or requested including the ability to run non-standard reports.
• Provide proactive audits via EMR.
• Completes audits focusing on charge capture and compliance as well as revenue opportunities.
• Collaborates with Clinical Managers and Leadership to assure compliance with identified patient charting discrepancies.
• Reviews free text items with Clinical Manager and Leadership to increase charting compliance and accurate billing on an ongoing basis.
• Maintains and collaborates with Patient Accounts to maintain working knowledge of CPT, APC’s and pass-through codes.
• Knowledge is maintained and kept current to any and all changes and/or updates.
• Assure compliance with all Medicare policies, procedures and regulations.

Education/Experience Required

• High School Diploma
• 5 years experience in operating room/procedural area, or billing experience with invasive product knowledge or substitute relevant experience

Knowledge, Skills & Abilities Required

• Self-directed, minimal supervision required.
• Good communication skills.
• Working knowledge of EMR charge capture.
• Computer skills.
• Data entry skills.
• Knowledge of Microsoft Windows.

Physical Requirements and Working Conditions

• Excellent interpersonal skills
• Ability to communicate with surgeons, office personnel, nursing personnel
• Analytical and problem-solving skills
• Ability to handle multiple tasks and complete work within short timeframes
• Self-motivated – requires minimal supervision
• Ability to transcribe medical information