Coding Quality Auditor
Children's Healthcare of Atlanta
Chargemaster Analyst
INTEGRIS Health
full-time
Posted on:
Location Type: Hybrid
Location: Oklahoma City • Oklahoma • 🇺🇸 United States
Visit company websiteJob Level
JuniorMid-Level
About the role
- Support maintenance of systems, processes, and workflows for timely and accurate recording of revenue related to the chargemaster (CDM), charge integrity, and charge capture for the INTEGRIS system
- Interpret government regulations and implement related process changes to ensure compliance with State and Federal laws, regulations and organizational policies
- Assist in evaluation, research and analysis of charging, revenue, and billing to ensure compliance with payer requirements and identify charging patterns
- Develop, implement, maintain and audit functions related to the CDM
- Provide leadership and direction on pricing strategies in accordance with CMS, Medicare Administrative Contractor rules, Medicaid rules, and Managed Care contract terms
- Provide communication and education regarding annual and quarterly CPT/HCPCS changes and additions
- Review charges and clinical data to compare services charged versus services recorded
- Collaborate in monthly and quarterly specialty-specific charge reviews; review and interpret utilization and billing data and provide recommendations
- Work with physicians and departments to optimize reimbursement, ensure charge capture and provide feedback on revenue opportunities, documentation, and payor standards
- Report to the System Manager Revenue Integrity
- Travel to INTEGRIS facilities throughout the state; some overnight travel required
Requirements
- Bachelor's Degree in a related field and 2 years of related experience; Associate degree and 4 years of related experience; or 6 years of related experience
- Previous work experience with software used in a financial, clinical or enterprise systems setting
- Previous work experience with financial, clinical or web-based systems computing preferred
- Previous experience using verbal and written communication to a variety of audiences through a range of modalities
- Prefer expertise, licensure, or certification as required by role (for example: CCS, COC, Epic, RHIA, RHIT, RN, etc.)
- Must operate an INTEGRIS-owned vehicle OR personal vehicle and therefore must have a current Driver's License from the state of residence and a driving record acceptable to the insurance carrier
- Ability to travel to INTEGRIS facilities throughout the state; some overnight travel required
Benefits
- increased compensation plans
- recently enhanced benefits package for all eligible caregivers
- front-loaded PTO
- 100% INTEGRIS Health paid short-term disability
- increased retirement match
- paid family leave
ATS Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
charge capturecharge integrityrevenue analysisbilling compliancepricing strategiesCPT codingHCPCS codingdata interpretationaudit functionsfinancial systems
Soft skills
leadershipcommunicationcollaborationanalytical thinkingproblem-solvingeducationfeedback provisionorganizational skillsinterpersonal skillsadaptability
Certifications
CCSCOCEpicRHIARHITRNBachelor's DegreeAssociate DegreeDriver's Licenseinsurance acceptable driving record
