What are the responsibilities and job description for the Charge Auditor (Full Time) position at Lake Charles Memorial Health System?
Description Of Position
Responsibilities And Duties
Education And Work Experience
Working at Lake Charles Memorial Health System | Great Place To Work®
- The Clinical Charge Audit Analyst performs detailed audits of medical records, comparing the medical record documentation against the itemized bill, nursing procedures, and department documented charging practices.
Responsibilities And Duties
- Proficient in chart review, clinical record information systems, and coding methodologies.
- Ability to understand and interpret medical records, hospital bills, and the charge master.
- Ability to understand all ancillary department functions.
- Ability to understand insurance terms, (HMO/PP, EOB, Stop Loss, etc) and payment methodologies.
- Ability to effectively negotiate with insurance carrier representatives and customers.
- Demonstrate ability to effectively manage multiple projects with innovation, creativity and vision.
- Addressing patient concerns regarding charges and services verbally an in written form in timely fashion (14 day return time from receipt).
- Making monthly observations and recommendations to prevent future cash losses.
- Performing concurrent review of hospital bills to document unbilled, underbilled, and overbilled items/services.
- Preparing reports on audit results, process improvement recommendations and systemic billing errors.
- Submitting charge documents by each facility to reconcile charges to items/services documented in the medical record.
Education And Work Experience
- Clinician desired/preferred. 2-4 year degree (or equivalent experience) in healthcare related field preferred; B.A. degree (or equivalent working experience in healthcare).
- Experience with PCs, word processing, spreadsheet, graphics, and database software applications are desired; Previous auditing experience preferred.
- Strong quantitative, analytical, and organizational skills.
- Ability to communicate orally and in written form.
- Ability to utilize and understand computer technology; Must be team oriented with strong interpersonal skills. Demonstrated ability to communicate and interact with patients, visitors, employees, physicians. Attention to detail.
- Requires emotional stability and maturity; Must be adaptable to change, be decisive, and demonstrate foresight; Exhibits organizational and leadership ability.
- Requires prolonged periods of sitting with a light amount of lifting of physical records/documents weighing up to 10 pounds.
- Almost 100% of time spent inside the building.
- Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Working at Lake Charles Memorial Health System | Great Place To Work®
