Charge Management Specialist

3 days ago


Lumberton, Texas, United States Southeastern Health Full time
Job Title: Charge Management Analyst

Job Summary:

The Charge Management Analyst will play a critical role in ensuring the accuracy and integrity of patient charges, working closely with hospital departments to improve charging practices and minimize variation. This position will also be responsible for researching and resolving claim data variances, evaluating payer updates, and assisting in audits to maintain timely and accurate charge capture coding and billing functions.

Key Responsibilities:

  • Perform internal quality assessment claim reviews to ensure compliance with federal, payer, and internal Revenue Cycle policies.
  • Work in coordination with hospital departments to improve charging practices and minimize variation.
  • Research and resolve claim data variances, evaluate payer updates, and assist in audits.
  • Recommend solutions to identify and address charge issues.

Requirements:

  • Current coding certification as a RHIA, RHIT, Certified Professional Coder (CPC), Certified Outpatient Coder (COC), or Certified Coding Specialist (CCS) or a minimum of 3 years coding experience.
  • Proficiency with Epic clinical documentation and hospital billing systems.
  • Utilization management, medical review/audits, and denial/appeals experience.
  • Knowledge of Medicare and Medicaid regulations, including billing, coding, and documentation requirements.

Preferred Qualifications:

  • Proficiency with Microsoft applications, including Outlook, Excel, Word, PowerPoint, and other web-based applications.
  • Ability to research, analyze, and interpret healthcare policies, billing guidelines, and state and federal regulations.

About Southeastern Health:

Southeastern Health is a leading healthcare provider dedicated to delivering high-quality patient care and improving the health of our community.



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