Charge Audit Analyst
sutter healthArkansas (KY)
About the role
Overview:
In this role you will improve outpatient documentation coding and charging accuracy to support compliant reimbursement. You will partner with clinical departments and coding staff to educate and drive root-cause improvements, ensuring documentation aligns with charging policies. You will analyze health records to determine appropriate charges and codes across service lines, collaborating with leadership to support an efficient revenue-cycle. This is a hands-on, cross-functional role that helps uphold payer and regulatory requirements while improving financial and clinical documentation quality. A strong hook is your opportunity to shape outpatient charge capture within a large health system.
Responsibilities:
Improve accuracy of outpatient clinical documentation coding and charging Educate clinical departments and coding staff on documentation and charging relationships Identify and implement root-cause corrections to improve compliance with policies Assist clinical areas to document services effectively and understand charging implications Review health records to determine applicable charges/codes for hospital/facility billing Utilize official coding/billing resources (CPT/HCPCS, OPPS/NCCI/NUBC) to determine charges/codes Collaborate with senior leadership and department heads to align with organizational goals Manage multiple tasks/projects in a fast-paced environment with diverse stakeholders
Key requirements:
CPC, COC, RHIA, or RHIT certification 5 years of recent relevant experience Knowledge of medical terminology, anatomy, physiology, pharmacology Understanding of Revenue Cycle and EHR systems (EPIC preferred) Knowledge of Medicare APC/OPPS, CPT/HCPCS, HCPCS, NCCI, NUBC Ability to review health records and assign charges/codes for outpatient services Strong project management and communication skills Proficiency with Microsoft Office (Excel, Word, PowerPoint) Ability to handle confidential information and comply with policies strong interpersonal skills effective verbal and written communication good listening EPIC (preferred) CPT/HCPCS references OPPS Manual
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