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Charge Audit Specialist
Tenet HealthcareCharge Audit Specialist responsible for billing audits and documentation in healthcare. Collaborating with clinical departments to enhance charge capture and compliance processes.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in healthcare coding, billing, and reimbursement processes, with a strong focus on auditing and training staff to ensure compliance with CMS, AHA, and state guidelines. Proven ability to identify and resolve billing errors while implementing best practices for charge capture and reconciliation.
Highest-signal resume keywords
Healthcare CodingBilling ReimbursementCharge Audit ExperienceTraining StaffCMS Guidelines
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Billing AnalysisCharge CaptureReconciliation ActivitiesAudit ReportingError Identification
Soft Skills
CollaborationCommunicationProblem-Solving
Certifications & Qualifications
LVNLPNRN
Industry Keywords
Healthcare EnvironmentHealth Information ManagementCoding GuidelinesReimbursement Guidelines
About the role
Key responsibilities & impact- Conducts reviews/audits to identify potential charging & billing issues including lost revenue opportunities; prepares reports based on findings, and provides summary of findings to impacted departments.
- Works with clinical departments and other impacted departments to ensure audit findings are addressed and to assist in implementing best charging practice moving forward.
- Identifies, researches and analyzes billing errors and/or omissions, working with appropriate staff/team members; ensures that revisions/corrections forwarded and incorporated in processing systems in timely manner.
- Provides training to staff engaged in billing data entry and related charge-capture/reconciliation activities to ensure procedures are understood and that charges booked are timely, appropriate, accurate, complete and properly documented.
- Stays current with CMS, AHA & state coding/charging & reimbursement guidelines.
Requirements
What you’ll need- Five years recent directly related work experience in a healthcare environment with significant exposure to healthcare coding/billing/reimbursement or completion of a recognized course of study for health information practitioners or coding specialists and three years coding experience in an acute hospital health information management department
- Applicable clinical or professional certifications and licenses such as LVN/LPN and RN highly desirable
- Hospital charge audit experience highly desirable
Benefits
Comp & perks- Medical, dental, vision, disability, and life insurance
- Paid time off (vacation & sick leave) – min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
- 401k with up to 6% employer match
- 10 paid holidays per year
- Health savings accounts, healthcare & dependent flexible spending accounts
- Employee Assistance program, Employee discount program
- Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
- For Colorado employees, Conifer offers paid leave in accordance with Colorado’s Healthy Families and Workplaces Act.