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Form of work- Position Summary
- ***Remote working 5 days a week but must be onsite based on business needs in Scarborough Maine.
- The PB Charge Capture Auditor 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. Regularly audits documentation to identify charging opportunities, recommend improvements, and collaborate with teams to implement changes. Assists with edit resolution, charging policies and procedures, and charge metrics analysis.
- Required Minimum Knowledge, Skills, and Abilities (KSAs)
- Education: Bachelor’s degree strongly preferred or minimum of four (4) years equivalent and related work experience such as coding, billing, Revenue Integrity, documentation improvement, clinical practice, or medical auditing required.
- License/Certifications: CCS, CCA, CPC, CPC-H, or CIRCC credential or Nursing (RN) certification preferred.
- Experience: Knowledge of CPT and HCPCS charging guidelines and principles required. Knowledge of CCI, MUE, LCD/NCD edits and Physician reimbursement methodologies strongly preferred.
- Strong ability to apply CMS regulations, AMA guidelines, and healthcare regulatory guidance to specific charging situations. The ability to research and analyze this information to provide compliant charging guidance is required.
- Epic Systems and professional charging experience strongly preferred.
- Preferred 4 years of experience with project coordination skills; time management and organizational skills: ability to multi task and maintain positive attitude in high stress environments.
- Computer proficiency in Microsoft Office is required.
- Ability to work independently and in a team environment with minimal supervision to meet deadlines and department goals.
- Position requires collaborative and strong communication skills to work closely with clinical departments and practices effectively.
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.
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.
