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UF Health · 2 months ago

Charge Audit Specialist | UF Heart & Vascular (Jax) | Full-time | Days (REMOTE)

United States

Full-time

Remote

Entry, Mid Level

2+ years exp

UF Health is seeking a Charge Audit Specialist responsible for performing charge capture audits and leading performance improvement efforts. The role involves educating clinical departments and promoting revenue cycle integrity to ensure accurate billing and documentation.

Health CareMedical

Growth Opportunities

Responsibilities

Perform charge capture audits by comparing the medical record documentation against the itemized bill

Identify charging, coding or clinical documentation issues and work with ancillary departments to resolve issues and notify appropriate leadership

Prepare modifications to patient charges as a result of the audits and as required to ensure appropriate revenue integrity

Respond to RAC and other third-party payer audit requests in collaboration with Health Information Management and Patient Financial Services

Maintain an audit activity report to track and communicate audit activity with the associated financial impact

Analyze audit results to identify patterns, trends, variances and opportunities to improve revenue integrity

Initiate and lead performance improvement efforts through multi-disciplinary teams to streamline processes, enhance charge capture and promote revenue cycle integrity

Provide education to all clinical departments as needed to promote appropriate charge capture processes and improve understanding of the documentation requirements for specific charge activity

Function as a resource to the CDM Coordinator when clinical information is needed to appropriately maintain the Charge Description Master

Analyze and resolve patient claims being held by billing edits (i.e. NCCI/modifier 59, Medical necessity, Correct coding Initiative, Outpatient Code Editor (OCE), Inpatient Code Editor, Self-Administered and other claims requiring clinical expertise’s)

Compare UB04 charges to BAR charges and ensure all discrepancies are appropriate

Performs all other duties as assigned by management within job scope

Qualification

Medical CodingCharge AuditRevenue Cycle IntegrityCoding CertificationPerformance ImprovementEducationTraining

Required

Must live in Florida

High School Diploma/Equivalent

2-years Medical Coding

Active coding certification from AAPC or AHIMA

Preferred

3-4 years of experience; charge audit or finance related experience

Experience in coding and /or reimbursement

Certified Professional Coder (CPC)

Company

UF Health

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University of Florida Health is a world-class academic health center in Florida, encompassing hospitals, physician practices, colleges, centers, institutes, programs and services across northeast and north-central Florida.

Founded in 1958

Gainesville, Florida, USA

10001+ employees