Revenue Integrity Charge Auditor

Description

Professional - Nonclinical

Req # : 43996

Summary :

The Revenue Integrity Charge Auditor role promotes the accuracy of charging practices across the organization. This position 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.

Required Minimum Knowledge, Skills, and Abilities (KSAs)

• Education : Bachelor's Degree or Associate's Degree in Healthcare Finance, Health Information or a closely related healthcare field preferred.
• License / Certifications : CCS, CCA, CPC, CPC-H, or CIRCC credential or Nursing (RN) certification preferred.
• Experience : Four years of related work experience such as coding, billing, revenue integrity, documentation improvement, clinical practice, or medical auditing required.
• Additional Skills / Requirements Required : Knowledge of CPT and HCPCS charging guidelines and principles required. Knowledge of CCI, MUE, LCD / NCD edits and Physician reimbursement methodologies strongly preferred.
• Additional Skills / Requirements Preferred : Knowledge of CCI, MUE, LCD / NCD edits and Physician reimbursement methodologies preferred.

Additional Information

With a career at any of the MaineHealth locations across Maine and New Hampshire, you'll be working with health care professionals that truly value the people around them - both within the walls of the organization and the communities that surround it.

We offer benefits that support an individual's needs for today and flexibility to plan for tomorrow - programs such as paid parental leave, a flexible work policy, student loan assistance, training and education, along with well-being resources for you and your family.

MaineHealth remains focused on investing in our care team and developing an inclusive environment where you can thrive and feel supported to realize your full potential. If you're looking to build a career in a place where people help one another deliver best-in-class care, apply today.

If you have questions about this role, please contact leanne.roberts@mainehealth.org