Clinical Charge Auditor Revenue Integrity DuBois CRC - 17622

Responsibilities

• Review and audit clinical documentation and charge capture processes to ensure accurate billing and reimbursement for healthcare services.
• Collaborate with clinical staff, coding professionals, and revenue cycle teams to identify discrepancies, educate staff, and promote best practices for charge capture and documentation.
• Act as a subject matter expert in clinical care, charge integrity, and compliance with regulatory and payer requirements.

Requirements

• At minimum an Associates’ degree in a clinical field of study, ex: Nursing, Respiratory, Radiology, Lab, etc required.
• Candidates must hold at least one active clinical license or certification in good standing.
• Knowledge of healthcare billing and practices, coding systems (ICD-10, CPT), and payor regulations.
• Proficient in electronic health record (EHR) systems and Microsoft Office Suite.
• Minimum 3 years of clinical experience and 2 years in revenue integrity, charge capture, coding, or auditing.

Qualifications

• Nursing: RN, BSN, LPN, LVN, Imaging/Radiology: ARRT (R), ARRT ,CT, MR, VI/CI, ARDMS- Respiratory Therapy: RRT, CRT- Laboratory: MLS(ASCP), MT(ASCP), MLT(ASCP)- Therapies: PT/DPT, PTA; OT, COTA; CCC-SL