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Charge Audit Specialist

Role overview

Qualifications

  • 3-5 years of applicable experience
  • Knowledge of PA patient management and case management system
  • Experience in EPIC WQ's
  • Critical thinking skills

Responsibilities

  • Support charging accuracy among clinical departments
  • Correct charges and promote billing accuracy
  • Manage assigned work queues and complete accounts in a timely manner
  • Assist with charge correction projects as needed

Key facts

Hard skills

Other skills

  • Critical Thinking
  • Collaboration
  • Communication

About the company

Saint Luke's Health System logo

Saint Luke's Health System

  • Hospitals & Health Systems
  • XLarge
  • 10,001+
Saint Luke's Health System is a faith-based, nonprofit aligned health system committed to the highest levels of excellence in providing health care and health related services in a caring environment. We are dedicated to enhancing the physical, mental and spiritual health of the communities we serve.Saint Luke’s Health System includes 18 hospitals across the Kansas City region, home care and hospice, behavioral health care, dozens of physician practices, and more. Saint Luke’s offers:*The region’s only heart transplant program, and one of the nation’s leading cardiovascular disease outcome research programs, at Saint Luke’s Mid America Heart Institute*Treatment for complex brain and spinal cord diseases, and the nation’s leading stroke reversal program dedicated to preventing and treating stroke, at Saint Luke’s Neuroscience Institute*A Level I trauma center*Advanced surgical care*Liver and kidney transplantation programs*A comprehensive maternal-fetal diagnostic and treatment center*A Level III Neonatal Intensive Care Unit (the highest level of neonatal care according to national standards)*An eICU, an innovative electronic intensive care patient care and monitoring program that spans multiple hospitals throughout the region and enhances outstanding bedside care*A nationally recognized children's behavioral health centerSaint Luke’s Health System Hospitals include:Saint Luke’s Hospital of Kansas CitySaint Luke’s East Hospital – Lee’s Summit, MOSaint Luke’s North Hospital – Barry RoadSaint Luke’s North Hospital – SmithvilleSaint Luke’s South Hospital – Overland Park, KSCrittenton Children’s Center – Kansas City, MOAnderson County Hospital – Garnett, KSHedrick Medical Center – Chillicothe, MOWright Memorial Hospital – Trenton, MOSaint Luke’s Cushing Hospital – Leavenworth, KSSaint Luke's Home Care and Hospice House - Kansas CityAllen County Regional Hospital - Iola, KSThe best place to get care. The best place to give care.

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Job description

Job Description​

Represents BJC in supporting charging accuracy among clinical departments.Demonstrates knowledge and technical expertise of the PA patient management and case management system to correct charges and promote billing accuracy.  Demonstrates critical thinking in CDM data management assignments.  Responds to requests serves as a system resource in resolution of charging problems data entry of CDM items and payment error prevention.  Serves as a liaison and resource between clinical and PA departments.     

This position is remote in the Kansas City area.

Experience in EPIC WQ's is ideal.

  • Collaborates with Patient Accounts, HIM, UR, Charge Audit, Charge Management and/or other charging departments as appropriate for charge issue resolution and process improvement. 

  • Manages assigned work queues and completes accounts in queue in a timely manner.

  • Shares trends with Manager and/or Charge Management service line analyst so they can provide education to staff.  

  • Utilizes system and department reference material to ensure appropriate processes and guidelines are being followed.

  • Assists with charge correction projects as needed.  

  • Attends and participates in monthly team meetings and attends in person quarterly team meetings.

Charge Audit dept. only:

  • Manages metro facility mailboxes and responds to requests to assist charging departments with questions, issues and charge correction.  

  • Performs charge capture for non-infusion charges for OB departments as some metro facilities.  Reviews patient medical records and validates documentation to support charges.


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Job Requirements

Applicable Experience:

3-5 years

Job Details

Full TimeDay (United States of America)

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