Clinical Charge Auditor Revenue Integrity DuBois CRC

Penn Highlands Healthcare -
DuBois, PA

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Job Details

Full-time

Benefits

403(b) matching
Disability insurance
Health insurance
Dental insurance
Paid time off
Employee assistance program
Vision insurance
403(b)
Life insurance

Qualifications

Patient management software
Electronic health record (EHR) management for billing and coding
Patient care
Productivity software
Clinical documentation standards
Associate's degree

Full Job Description

Penn Highlands Healthcare has been awarded on the Forbes list of Best-in-State Employers 2022. This prestigious award is presented by Forbes and Statistica Inc., the world leading statistics portal and industry ranking provider.

The Revenue Integrity Clinical Charge Auditor is responsible for reviewing and auditing clinical documentation and charge capture processes to ensure accurate billing and reimbursement for healthcare services. This role collaborates with clinical staff, coding professionals, and revenue cycle teams to identify discrepancies, educate staff, and promote best practices for charge capture and documentation. The auditor acts as a subject matter expert in clinical care, charge integrity, and compliance with regulatory and payer requirements.

QUALIFICATIONS:

At minimum an Associates’ degree in a clinical field of study, ex: Nursing, Respiratory, Radiology, Lab, etc required.

Candidates must hold at least one active clinical license or certification in good standing Nursing: RN, BSN, LPN, LVN, Imaging/Radiology: ARRT (R), ARRT ,CT, MR, VI/CI, ARDMS- Respiratory Therapy: RRT, CRT- Laboratory: MLS(ASCP), MT(ASCP), MLT(ASCP)- Therapies: PT/DPT, PTA; OT, COTA; CCC-SL , Knowledge of healthcare billing and practices, coding systems (ICD-10, CPT), and payor regulations. Proficient in electronic health record (EHR) systems and Microsoft Office Suite

Minimum 3 years of clinical experience and 2 years in revenue integrity, charge capture, coding, or auditing

WHAT WE OFFER:

Competitive Compensation
Shift Differential
Professional Development
Supportive and Experienced Peers

BENEFITS:

Medical, Dental, and Vision offered after completion of introductory period
Paid Time Off
403(b) retirement plan with company match
Company Paid Short & Long Term disability coverage
Company Paid and Voluntary Life Insurance
Flex Spending Account
Employee Assistance Program (EAP)
Health & Wellness Programs

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