Healthcare Charge Auditor - REMOTE

Quadris Team, LLC - A Revenue Cycle Management Group, is searching for that dynamic person to join us, working with our highly skilled Medical Coding Team to fill the role of Healthcare Charge Auditor. We are a 100% remote team supporting our clients across the United States! See us at www.quadristeam.com.

Job Focus:

The Healthcare Charge Auditor is responsible for reviewing and auditing billing practices and documentation to ensure compliance with regulatory standards and accurate reimbursement. This role plays a critical part in identifying discrepancies, improving revenue cycle processes, and supporting the organization's financial health. This individual must demonstrate a commitment to the organization's strategic plans, short- and long-term goals and mission, vision, and values by representing the company in a caring and professional manner.

Primary/Essential Expectations for Success:

• Conduct comprehensive audits of patient billing records, charge capture processes, and clinical documentation to ensure accuracy and compliance with applicable laws and regulations
• Identify and analyze discrepancies in billing and documentation, providing feedback and recommendations for improvement
• Collaborate with clinical staff, coding professionals, and billing departments to resolve issues and ensure accurate charge capture
• Develop and maintain audit reports, track trends and providing insights to management for performance improvement
• Stay current with healthcare regulations, coding updates, and industry best practices to inform audit processes
• Assist in training staff on charge capture processes, compliance standards, and documentation requirements
• Participate in the development and implementation of policies and procedures related to charge auditing and revenue cycle management
• Support internal and external audits by providing necessary documentation and analysis
• Review Surgical logs for appropriate times of operation and anesthesia
• Review charges on account for accuracy/update accordingly
• Review documentation and post missing charges
• Review admission orders to confirm correct patient status
• Review of charge audits completed by the client of our charge posting
• Charge denial review

Skills Needed to Be Successful:

• Maintains compliance with regulations and laws applicable to the job
• Professional level of communication with video, phone, and email
• Ability to effectively prioritize the work to meet deadlines and expectations
• Meets the quality and productivity measures as outlined by Quadris
• Brings positive energy to work
• Uses critical thinking skills
• Being present and focused on assigned tasks and eliminates distractions
• Being a self-starter
• Ability to work independently and within a team atmosphere

Core Talent Essentials:

• Completed a registered nursing program from an accredited educational institution
• Certification as a Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) preferred
• 3-5 years of experience in healthcare auditing, billing, or coding is preferred
• Strong knowledge of healthcare regulations, coding systems (ICD, CPT, HCPCS), and reimbursement methodologies
• Advanced level of medical terminology
• Excellent analytical, organizational, and communication skills
• Proficiency in electronic health records (EHR) systems and billing software
• Self-motivated and passionate about our mission and values of quality work
• Professional level skills in MS products such as Excel, Word, Power Point
• Proficient application of business/office standard processes and technical applications

Physical Environment:

• Prolonged periods of sitting at a desk and working on a computer
• Must be able to lift 15 pounds at one time
• Must be able to structure your home office to ensure patient information is secure meeting the regulatory expectations

Quadris is an Equal Employment Opportunity employer. Any offer of employment is contingent upon a criminal background check, previous employment verification and references, following all federal and state regulations. Quadris Team is a participant of eVerify.