Charge Audit Analyst

🕒 September 14

🌵 Arizona, California, +21 more states – Remote

🌵 Arizona – Remote 🏄 California – Remote ⛰️ Colorado – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🌽 Illinois – Remote ⚜️ Louisiana – Remote 🦬 Montana – Remote 🎰 Nevada – Remote 🏖️ New Jersey – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🌲 Oregon – Remote 🚗 Michigan – Remote ❄️ Minnesota – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote ⚔️ Virginia – Remote ☕ Washington – Remote

💵 $33 - $63 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Analyst

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 14%

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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Sutter Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded Sutter Health was founded in 1996.

🏥 Healthcare

⚕️ Healthcare Insurance

🤝 Non-profit

💰 Grant on 2016-11

Healthcare • Healthcare Insurance • Non-profit

Sutter Health is a not-for-profit health system serving Northern California, offering a wide range of healthcare services. It provides comprehensive primary and specialty care, including mental health, oncology, orthopedics, women's health, and more. The organization supports both in-person and virtual visits, ensuring accessibility to its services. Sutter Health is also involved in medical research, education, and offers various health plans, including Sutter Health Plus. It emphasizes innovative, compassionate care and maintains a network of hospitals, medical groups, and other health providers across Northern California.

📋 Description

• Improve accuracy of facility outpatient clinical documentation coding and charging • Educate clinical departments and coding staff • Perform root-cause correction to support accurate charging and coding compliance • Assist clinical areas with documenting services effectively • Explain the relationship between documentation and charging for provided services • Review health records to determine applicable facility billing charges and codes • Use official coding and billing resources to determine charges and codes • Work on multiple tasks and projects while meeting productivity requirements • Communicate with senior leadership, department heads, clinical areas, and coding staff

🎯 Requirements

• High School Diploma or General Education Diploma (GED) • CPC-Certified Professional Coder OR COC-Certified Outpatient Coder OR RHIA- Registered Health Information Administrator OR RHIT- Registered Health Information Technician • 5 years recent relevant experience • Knowledge of medical terminology, disease processes, patient health record content and medical record coding process • Basic knowledge of anatomy, physiology and pharmacology • Familiarity with billing functions and charge description master components • General knowledge of Revenue Cycle applications, including Electronic Health Record systems • Ability to meet productivity requirements and manage multiple tasks/projects • Ability to comply with Sutter Health policies and procedures • Ability to maintain confidential information • Understanding of hospital-based outpatient charging and coding • Knowledge of Medicare APC and OPPS reimbursement structures • In-depth knowledge of medical and billing terminology, CPT, diagnosis codes, HCPCS, and revenue codes • Knowledge of government and/or commercial payer requirements • Knowledge of Federal, State, and Local regulatory publications • Knowledge of Outpatient National Correct Coding Edits • Ability to review health records and determine applicable hospital/facility billing charges and codes • Ability to use CPT/HCPCS references, OPPS Manual, NCCI Manual, NUBC Manual, and other official coding/billing resources • Strong project management skills • Strong interpersonal and communication skills • Skilled ability with electronic medical records; EPIC preferred • Proficiency with Microsoft Office applications, including Excel, Word, and PowerPoint • Effective organizational, prioritization, verbal, written communication, listening, problem-solving, and investigative skills

🏖️ Benefits

• Comprehensive benefits package • Total rewards program • Monday–Friday schedule • Day shift • No weekend requirements

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