Biller – Chart Auditor

🔥 12 hours ago

🏰 Missouri – Remote

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⏰ Full Time

🟢 Junior

🟡 Mid-level

🔎 Auditor

🚫👨‍🎓 No degree required

👻 Ghost score 10%

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Logo of Mosaic Life Care

Mosaic Life Care

1001 - 5000 employees

Founded 2012

🏥 Healthcare

💰 $250k Grant - Mosaic Life Care on 2023-08

Healthcare

Mosaic Life Care is a regional health system and medical provider based in Northwest Missouri. As a member of the Mayo Clinic Care Network, Mosaic provides a wide range of outpatient and acute care services across medical centers and clinics, offers urgent care (including an online "Hold My Spot" feature), a Community Nurse Line, online patient portal (myMosaic by MyChart), cardiac scoring screening, and patient-facing services like scheduling, billing, and medical records access. The organization emphasizes community-focused healthcare and access to Mayo Clinic expertise for local patients.

📋 Description

• Audit and review operative cases and intraoperative documentation daily for complete and accurate charge capture • Validate procedures, supplies, implants, devices, and time-based services against preference cards, implant logs, anesthesia records, case times, and posted charges • Identify and resolve missing, duplicate, or incorrect charges with OR caregivers and ancillary departments • Ensure surgical cases are finalized and ready for billing in a timely manner • Perform charge integrity reviews before coding and claim submission • Monitor charge variances, revenue per case, recurring documentation gaps, supply usage, and revenue opportunities • Identify root causes of charge loss and support perioperative revenue integrity improvement plans • Serve as a resource for high-dollar and implant-intensive cases • Collaborate with Clinical Informatics and IT on Epic charge routing, OpTime workflows, interfaces, testing, validation, and troubleshooting • Educate OR caregivers on documentation affecting charge capture and reimbursement • Support standardization of preference cards, implant documentation, and supply usage workflows • Work with sales representatives and vendors to validate pricing, invoices, and charge master alignment • Obtain pricing for new or unique implants and reorder critical supplies and devices • Liaise with Perioperative Services, Revenue Cycle, Coding, Billing, Supply Chain, Finance, and Purchasing • Report trends to OR leadership and participate in audits, regulatory reviews, and compliance initiatives • Perform other duties assigned to support perioperative operations and financial performance

🎯 Requirements

• High school diploma or GED required • 2 years of clinical experience in the intraoperative setting required • Certified Surgical Technologist (CST) required upon hire, or Licensed Practical Nurse (LPN) with state licensure required upon hire, or Registered Nurse (RN) with state or compact-state licensure required upon hire • Must be able to travel between various system facilities and off-site locations as needed • Ability to understand medical terminology, surgical procedures, instrumentation, anatomy, physiology, and sequence of events • Ability to analyze and reconcile clinical documentation with billing and charge data • Knowledge of Epic OR/OpTime workflows and charge capture processes • Knowledge and experience with information systems and Internet usage • Experience with spreadsheet and word-processing software • Ability to work independently, multitask, manage multiple priorities, and problem-solve • Excellent oral and written communication, organizational, analytical, and problem-solving skills • Ability to operate computers, telephones, fax machines, and copiers continuously or repetitively • Ability to sit, walk, and stand • Ability to see and hear and assess paper and electronic data • Standard precautions and minimal hazard exposure • Preferred: 5 years of clinical experience in the intraoperative setting • Preferred: 2 years of experience with OR billing, charge capture, auditing, and revenue integrity

🏖️ Benefits

• Concierge services • Employee lounge • Wellness programs • Free covered parking • Free on-site and virtual health clinics • Compensation and recognition programs

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