Charge Audit Specialist

Title: Charge Audit Specialist-Full-time Remote

Valley View Hospital
Glenwood Springs, CO 81601, USA

Job Category: Non-Clinical

Requisition Number: CHARG005382

• Full-Time
• Remote
• Pay or shift range: $29.05 USD to $42.73 USD

• The estimated range is the budgeted amount for this position. Final offers are based on various factors, including skill set, experience, location, qualifications and other job-related reasons.

Job Description:

Join Valley View's HIM team as a Charge Audit Specialist! 

This position will optimize and support charge capture across the organization and will partner with clinical departments to ensure billable services are accurately captured to optimize revenue stream. 

GENERAL OBJECTIVES:

1. Supports charging accuracy among clinical departments.  


2. The Charge Audit Specialist role promotes the accuracy of charging practices across the organization.


3. Serves as a liaison between clinical areas and revenue cycle teams to translate billing needs in order to effectively collaborate with practice operations in improving charge capture for their service lines.


4. Is a resource for providers, clinical team members, and leaders charging workflows, charge code questions, and compliant charging. 


5. Performs ongoing clinical service line reviews of medical records and associated billing to identify potential charging inaccuracies.


6. Develops action plans for corrections, quantifies revenue impact, and partners with clinical areas until resolution.

 

QUALIFICATIONS:

 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

SALARY RANGE

• ‎$29.05 to $42.73/hour 


• Entry salary dependent upon education, skill-set, and experience

 

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.


 

APPLICATION SUBMISSION END DATE

This position will be open for a minimum of three days and until a top applicant is identified.

About Us
Located between Aspen and Vail, along the Colorado River, Glenwood Springs is a mecca for outdoor adventures in our beautiful mountains. When you are looking to relax, we also have the largest hot springs pool in the world. As a community with a population of about 10,000, Glenwood Springs is an ideal size.

Valley View Hospital offers exceptional benefits, including a robust health and dental plan; vision and life insurance; defined contribution pension plan; 403(b); and generous accrual of vacation/sick days. Relocation and other financial assistance may apply, along with many more employee perks.

At Valley View, our mission is to provide convenient, connected care to the communities of Western Colorado with scope, technology, and expertise that are rarely found in regional hospitals.