Charge Defense Auditor - Healthcare

Emeryville, CA 94608

Job Category: Healthcare-Medical Job Number: 112054 Pay Rate: 0.0000

Job Title        :        Charge Defense Auditor - Healthcare

Location        :        Emeryville, California - 94608

Duration       :        4+ Months contract (Higher possibility to extend)

About Client: Our Client serves the local, regional and global communities by forming strategic alliances and developing strong partnerships to improve health, enhance opportunities for education and foster research collaborations around the world.

Summary: 

  • Responsible for reviewing audit requests, scheduling audits with outside auditing firms, and determining focus of audit review.
  • Responsible for providing in-depth review and analysis of charges, services and documentation to  support defense of charges.
  • Should coordinate procurement of itemized bills and medical record/charge support documentation.
  • Responsible for making a determination of agreement or non-agreement with external audit findings and determine next steps.
  • Review audit outcomes with supervisor and Assistant Director before final sign off of audit results.
  • Should be able to manage late charge work queues.
  • Should assists with maintaining the timely filing category on the daily hold report.
  • Completes custom billing for cosmetic combination packages and records billing statuses for HAC cases.
  • Should assists with inpatient billing in the absence of the inpatient biller.

Required Experience And Certification:

  • Should have high school graduation and/or bachelor’s degree.
  • Should have knowledge of charge system, charge master structure, documentation and coding procedures.
  • Should have excellent verbal and written skills.
  • Should have Current Procedure Coding certification and strong knowledge of ICD10, CPT4, HCPC, DRG, ASC, UB Revenue Codes and familiarity with UB04 and 837I billing regulations and requirements.

About ASK:  ASK Staffing is an award-winning technology and professional services recruiting firm servicing Fortune 500 organizations nationally. With 5 nationwide offices, two global delivery centers, and employees in 42 states-ASK Staffing connects people with amazing opportunities.

#ASK123

Contact:

Regina:               reginat@askstaffing.com               - 678-310-2892

Sabrina:              sabrinat@askstaffing.com             - 678-487-8581 

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