Senior Charge Review Specialist

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🔥 0 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

⏰ Full Time

🟠 Senior

👻 Ghost score 10%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Central Health

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2004

🏥 Healthcare

🏛️ Government

⚕️ Healthcare Insurance

Healthcare • Government • Healthcare Insurance

Central Health is the Travis County Hospital District — a public hospital district and local health authority that coordinates and funds health care services and coverage for residents of Travis County, Texas. It oversees clinical services and community health programs, partners with providers (e. g. , CommUnityCare health centers), administers coverage programs such as the Medical Assistance Program (MAP), provides information about health insurance and marketplace options, and supports health & wellness, patient records, and population health initiatives. Central Health is governed by a Board of Managers and publishes strategic plans, budgets, and reports to the community.

📋 Description

• Process accurate code assignments and required billing data elements for paper and electronic claims before payment processing and revenue reporting • Review coding edits, provider charting, documentation, and submitted coding for accuracy and compliance • Determine the correct sequencing of ICD-10, CPT, and HCPCS codes under the Revenue Integrity Manager's direction • Answer coding questions from providers and staff and provide regulatory and coding-initiative guidance • Analyze provider coding, provide guidance, and audit Charge Review Specialist claims for quality assurance • Ensure timely and accurate claim processing according to company procedures and industry best practices • Maintain HIPAA confidentiality and comply with applicable regulations, standards, and company policies • Meet daily productivity goals • Participate in Revenue Cycle Team activities, assist coworkers, and pursue continuous improvement and cost efficiencies • Develop, implement, and improve charge-review policies and procedures • Initiate and respond to telephone inquiries from providers, clients, and patients • Document communications and activities in billing notes • Participate in organizational initiatives and perform other duties supporting the organization's vision, mission, and values

🎯 Requirements

• High school diploma or GED • 4 years of relevant healthcare revenue or medical billing cycle experience, including coding • Required certification maintained as one of: Certified Coding Specialist (CCS) through AHIMA; Certified Coding Specialist–Physician (CCS-P) through AHIMA; Certified Professional Coder (CPC) through AAPC; Certified Professional Coder–Hospital (CPC-H) through AAPC • Thorough knowledge of billing and coding policies and procedures • Knowledge of ICD-10, CPT, HCPCS, and modifiers • Proficiency in filing and collecting insurance claims • Previous experience with electronic claim filing and practice management software • Computer literacy in Windows applications, Word, Excel, PowerPoint, and Outlook • Typing and 10-key proficiency; computer and data-entry skills • Knowledge of healthcare billing, reimbursement procedures, regulations, medical terminology, anatomy, and insurance processes • Basic accounting skills and ability to audit patient accounts accurately • Analytical, problem-solving, organizational, prioritization, and deadline-management skills • Experience with EPIC PM/EMR preferred but not required • Excellent verbal and written communication skills • Ability to work independently and proactively engage supervisors and coworkers • Strong work ethic and professionalism

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