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Anesthesia ProFee Charge Review Specialist

2020-04-07 USD 100 1000000 Direct Hire 2020-05-07
  • Job Id:

  • Profession:

  • Hiring Organization:

  • Employment Type:

    Direct Hire
5810 Coral Ridge Drive, Suite 250 Coral Springs FL 33076 USA
customer support [+954-656-8600]
  • Specialty:

    Coding Reviews
  • 321 Main St.


    San Diego, CA 92101San DiegoCA
  • Start date:

  • Salary:

    call for details


Position under minimal supervision, the incumbent utilizes clinical and/or coding expertise to enhance revenue integrity by performing concurrent or retrospective charge capture audits for Anesthesia Professional Fee related charges/coding. These audits/edits compare medical record documentation to the itemized bill in accordance to governmental, coding and billing rules and regulations to identify opportunities for improved compliance and revenue opportunities through more effective documentation or improved charge capture processes. Actively participates in compliance activities as required to assure revenue integrity.

Maintains a working knowledge of the revenue cycle process to aid in the implementation of regulatory standards while accurately complying with billing guidelines. Participates in ongoing coordination and resolution of revenue issues as they arise. Analyzes audit results to identify patterns, trends, variances and opportunities to improve revenue integrity. Coordinates with other Revenue Integrity team members and other departments as necessary to ensure identified patterns and trends are provided as feedback to improve revenue integrity going forward. Works assigned work queues to effectively manage charge audit issues and resolve issues in a timely fashion. Ensures audits are conducted accurately and timely to minimize delays in billing and eliminate potential denials or compliance related issues.


· Three (3+) or more years of relevant experience i.e. Anesthesia Professional Fee Coding, Critical Care Coding, Pain Coding, and Epic (work queues and charge entry).

· Certified Professional Coder (CPC).

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