Charge Audit Specialist

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🔥 4 minutes ago

⛰️ Colorado – Remote

⛰️ Colorado – Remote

💵 $29 - $42 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

💻 IT Support

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Valley View

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1955

🤝 Non-profit

🧘 Wellness

Non-profit • Wellness

Valley View is a nonprofit community hospital and regional health system based in Glenwood Springs, Colorado, founded in 1955. It operates a 78-bed main hospital on a 21-acre medical campus (CMS 5-star rated) and multiple clinics in surrounding communities, offering comprehensive acute, surgical, specialty, rehabilitation, behavioral health, and outpatient services. Valley View emphasizes patient-centered care, community outreach, health education and wellness programs, and aims to make advanced medical services accessible locally.

📋 Description

• Join Valley View's HIM team as a Charge Audit Specialist! • This position will optimize and support charge capture across the organization. • Partner with clinical departments to ensure billable services are accurately captured to optimize revenue stream. • Supports charging accuracy among clinical departments. • Promotes the accuracy of charging practices across the organization. • Serves as a liaison between clinical areas and revenue cycle teams to translate billing needs. • Effectively collaborate with practice operations in improving charge capture for their service lines. • Is a resource for providers, clinical team members, and leaders regarding charging workflows, charge code questions, and compliant charging. • Performs ongoing clinical service line reviews of medical records and associated billing to identify potential charging inaccuracies. • Develops action plans for corrections, quantifies revenue impact, and partners with clinical areas until resolution.

🎯 Requirements

• Education: Preferred: Health Information, Coding, Billing, Revenue cycle or a closely related healthcare. • Experience: Preferred: Minimum two years of related work experience in healthcare revenue cycle operations, including charging, claims billing, coding, revenue integrity, documentation improvement, clinical practice, or medical auditing required. • Required: Knowledge of CPT and HCPCS charging guidelines and principles. • Skills: Advanced knowledge of code data sets to include CPT, HCPCS and ICD 10. • Advanced knowledge of charging guidelines and principles. • Advanced knowledge of NCCI edits and Medicare LCD/NCDs. • Ability to review, analyze and interpret managed care contracts, billing guidelines and state and federal regulations. • Required: Excellent organizational and communication skills. • Excellent interpersonal skills and the ability to interact effectively with a variety of individuals and groups. • Required: Analytical mindset

🏖️ Benefits

• Medical, Dental and Vision coverage including coverage for eligible dependents • Employer paid basic life coverage with buy-up coverage options • Flexible Spending Account (FSA) for health care and dependent care. • Time away from work: paid time off (PTO), paid family and medical leave (inclusive of Colorado FAMLI), Paid Sick/Bereavement Leave under Colorado Healthy Families and Workplaces Act (HFWA), leaves of absence. • Tuition Assistance Available • Retirement Plan 401(a) Retirement Plan 403(b) plans with employer matching contributions. • Employee Assistance Program • Employee discount on Valley View Medical Services • Employee voluntary benefits such as Discounted RFTA bus passes, discounted gym memberships, Corporate Ski passes, free car seat for new Valley View babies born or adopted by Valley View employee(s) • Free Use of Sunlight and Aspen SkiCo day passes, based on availability.