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Health Advocates Network

Charge Capture Integrity Auditor/Analyst

chicago, IL

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Job description

Contract to Hire

nJob # 25286 Charge Capture Integrity Auditor/Analyst

nAcclivity Healthcare - Your personable, proven partner!

nSince 1999, Acclivity Healthcare has served the specialized recruiting and staffing needs of leading healthcare employers nationwide. Our clients range from independent physician practices to national healthcare systems and insurance providers. We are proud of our 18,000+ successful placements with quality-oriented organizations that recognize the value of better talent.

nCompensation and Schedule for the Charge Capture Integrity Auditor/Analyst

nCharge Capture Integrity Auditor/Analyst - Full-time, work-from-home, $29-$35 per hour, Monday to Friday, 8:00am to 5:00pm. Join a growing team!

nRequired Qualifications of the Charge Capture Integrity Auditor/Analyst

nnn3+ years of recent charge capture-related billing, coding, revenue cycle, or compliance experience required

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nnRecent revenue integrity experience required

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nnValid coding certification (CPC, CCS, CPC-H, or CIC) required

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nnBachelor's degree in healthcare administration, finance, business administration, or a related field preferred

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nnHigh school diploma or GED required

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nnMust successfully pass a criminal background check and drug screen

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n nResponsibilities of the Charge Capture Integrity Auditor/Analyst

nnnAnalyze and conduct regularly scheduled chart audits and education for Physicians, APPs and other billable providers by evaluating education needs from audit results

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nnAnalyze and conduct audits for focused requests such as internal reviews, program & payment integrity reviews, payor programs

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nnParticipate in facilitation of audit process from time it is received to completion of request

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nnResearch and communicate regulatory requirements and payor policies that impact charging and reimbursement for the areas assigned

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nnIdentify education and improvement opportunities for accuracy, outliers, and missed revenue by utilizing data such as: revenue, RVUs, denials, CPTs by specialty, lag days in documentation to provide education to operational leaders and Physicians, APPs and other billable providers

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nnTrain departments on charge reconciliation and monitor to ensure charge reconciliation is happening in the areas assigned

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nnMonitor open encounters to ensure the chart is closing within policy guidelines

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nnEducate Physicians, APPs and other billable providers, practice leaders and revenue cycle on annual coding updates and drive necessary EPIC revisions

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nnWork with leadership to roll out new codes as applicable and timely

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nnAnalyze and ensure codes dropping are correct for all services rendered outside of that coded by HIM

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nnSupport operational leaders on efforts and initiatives related to charge capture, documentation, and reimbursement items

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nnCollaborate with other departments and vendors to research where shared responsibilities for coding alignment or impact is needed

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n nAbout the Company

nThis well-known and successful healthcare system has remained a symbol of quality for nearly 40 years. They are the 5th largest healthcare system in the nation, with more than 60,000 caregivers and staff who deliver excellent care to diverse communities in 21 states. This organization has won numerous awards as a top healthcare employer because of its excellent work environment and commitment to their employees' growth and success. This organization has an immediate need for two skilled Charge Capture Integrity Auditor/Analysts to join their team!

nHealth Advocates Network, Inc. is an equal opportunity employer. All qualified applicants shall receive consideration for employment without regard to any legally protected basis under applicable federal, state or local law, except where a bona fide occupational qualification applies. EOE including Veterans/Disability

Worksite address

chicago, IL, 60290, US

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