Apply on Employer Site

Conifer Health Solutions · 11 hours ago

Charge Audit Specialist - Remote

United States

Full-time

Remote

Mid, Senior Level

$30.85/hr - $46.28/hr

5+ years exp

Conifer Health Solutions is a company with over 30 years of healthcare industry expertise. They are seeking a Charge Audit Specialist responsible for ensuring accurate billing charges are captured and documented, conducting audits of clinical documentation, and providing training to staff on charge capture processes.

Health Care

H1B Sponsor Likely

Responsibilities

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

Other duties as assigned to meet client expectations that would include root cause analysis, research of complex charging issues, implementation of corrective actions & provide subject matter expertise during system upgrades & implementations

Qualification

Healthcare billing knowledgeAudit principles knowledgeCPT/HCPCS coding knowledgeCharge capture processesRegulatory compliance knowledgeMedical terminology knowledgeExcel/PowerPoint/Outlook skillsEstablish relationshipsCommunication skills

Required

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

Knowledge of audit principles and guidelines

Knowledge of the accepted principles, practices and tools relating to general healthcare billing, cost accounting and reimbursement

Knowledge of policies, standards and methodologies pertaining to charge capture and reconciliation, reporting, documentation and general compliance

Knowledge of CPT/HCPCS codes

Knowledge of the content and application of published health information management coding conventions, e.g., as referenced in 'Coding Clinics' and/or other nationally recognized coding guidelines

Ability to recognize, research and correct charging/documentation discrepancies

Knowledge of the standards and regulatory requirements applicable to matters within designated scope of authority, including medical/legal issues

Working knowledge of medical terminology and abbreviations, and health care nomenclature and systems

Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency

Ability to establish and maintain effective working relationships as required by the duties of the position

Strong communication skills

Strong Excel/Powerpoint/Outlook Skills

Preferred

Applicable clinical or professional certifications and licenses such as LVN/LPN and RN highly desirable

Hospital charge audit experience highly desirable

Benefits

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.

Company

Conifer Health Solutions

Glassdoor2.8

Conifer Health Solutions is a healthcare services company helping organizations strengthen their financial performance

Founded in 2008

Frisco, Texas, USA

10001+ employees

http://coniferhealth.com/

H1B Sponsorship

Conifer Health Solutions has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2025 (5)

2024 (3)