Charge Review Specialist
7 days ago
The Charge Review Analyst plays a critical role in ensuring the accuracy and completeness of clinical department charge entry at University Health. As the primary point of contact for assigned clinical charging departments, this position requires strong critical thinking and interpersonal skills to provide exceptional service to clinical department leaders, nursing staff, and other revenue cycle colleagues.
Key Responsibilities- Monitor charge capture across all clinical charging services lines at UH
- Provide education and training to clinical department staff on charging practices and Epic system updates
- Identify and resolve charging-related issues through root cause analysis and system updates
- Ensure daily charge review and reconciliation for clinical departments
- Collaborate with clinical, financial, and I.T. staff to act as a bridge between departments
- Organize and schedule meetings with personnel to resolve charging-related issues
This position requires a Bachelor's Degree in Accounting, Finance, or Healthcare, or equivalent technical or clinical experience. A minimum of two years of experience in hospital Revenue Integrity, Charge Capture, Nurse Audit, Denials, and/or Clinical Documentation Improvement is also required. Knowledge of medical terminology and coding, as well as experience working within the Epic hospital information systems environment, is essential.
Experience with PC applications such as MS Office Suite, MedAssets, and Hospital Information Systems is also required. Epic Certification in HB Resolute is highly preferred, as is experience with payer reimbursement methodologies and analyzing Medicare fiscal intermediary bulletins and Center for Medicare Services memorandums.
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Charge Entry Specialist
2 weeks ago
San Antonio, Texas, United States Methodist Le Bonheur Healthcare Full timeJob SummaryWe are seeking a highly skilled Charge Entry Specialist to join our team at Methodist Le Bonheur Healthcare. As a Charge Entry Specialist, you will play a critical role in ensuring the accuracy and efficiency of patient care.Key Responsibilities:Review and enter charge documents into our practice management systemCoordinate with front office staff...
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RN Utilization Review Specialist
3 weeks ago
San Antonio, Texas, United States Christus Health Full timeJob Summary:The RN Utilization Review Specialist is responsible for ensuring the clinical appropriateness of care provided to patients and optimizing hospital resource utilization. This role involves performing pre-admission, concurrent, and retrospective reviews to ensure compliance with regulatory requirements and industry standards. The RN Utilization...
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Charge Entry Specialist
2 weeks ago
San Marcos, Texas, United States Austin Heart Full timeAbout the RoleAustin Heart is seeking a highly skilled Charge Entry Specialist to join our team. As a key member of our healthcare organization, you will play a vital role in ensuring the accuracy and efficiency of patient care.Key ResponsibilitiesReceive and review charge documents for accuracy and coordinate with front office staff on all payment/billing...
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RN Utilization Review Specialist
2 weeks ago
San Antonio, Texas, United States Christus Health Full timeJob SummaryThe RN Utilization Review Specialist is a key member of the healthcare team at Christus Health, responsible for ensuring the clinical appropriateness of care provided to patients and optimizing hospital resource utilization. This role involves performing pre-admission, concurrent, and retrospective reviews to ensure that patients receive the most...
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RN Utilization Review Specialist
6 days ago
San Antonio, Texas, United States Christus Health Full timeJob Summary:The RN Utilization Review Specialist is responsible for ensuring the clinical appropriateness of care provided to patients and optimizing hospital resource utilization. This role involves performing pre-admission, concurrent, and retrospective reviews to ensure that services are necessary and properly utilized. The RN must be able to competently...
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Clinical Utilization Review Specialist
2 weeks ago
San Antonio, Texas, United States Christus Health Full timeJob Summary:The RN Utilization Review Specialist is responsible for ensuring the clinical appropriateness of care provided to patients and optimizing hospital resource utilization. This role involves performing pre-admission, concurrent, and retrospective reviews to ensure compliance with regulatory requirements and approved screening criteria. The ideal...
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RN Utilization Review Specialist
3 days ago
San Antonio, Texas, United States CHRISTUS Health Full timeJob Summary:The RN Utilization Review Specialist is responsible for ensuring the clinical appropriateness of care provided to patients and optimizing hospital resource utilization. This role involves performing pre-admission, concurrent, and retrospective reviews to ensure that services are necessary and meet regulatory requirements. The ideal candidate will...
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Charge Master Specialist
5 days ago
San Antonio, Texas, United States University Health Full timePOSITION SUMMARY **Key Responsibilities:** * Maintain the UH Charge Description Master under the general direction of the Charge Master Manager. * Coordinate with clinical and financial departments to implement appropriate charges for services rendered. * Resolve charge and coding related issues across all UH departments. **Additional...
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Registered Nurse
4 weeks ago
San Antonio, Texas, United States Christus Health Full timePosition Overview: The Registered Nurse - Utilization Review Specialist plays a crucial role in assessing the clinical necessity of patient care and optimizing the use of hospital resources. Key Responsibilities: Utilize established screening criteria such as InterQual, MCG, and CMS Inpatient List to evaluate patient care.Manage a varied workload effectively...
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Compliance Review Specialist
2 weeks ago
San Antonio, Texas, United States Texas Department of Aging & Disability Services Full timeJob Summary: We are seeking a highly skilled Compliance Reviewer to join our team at the Texas Department of Aging & Disability Services. As a Compliance Reviewer, you will play a critical role in ensuring the quality and accuracy of certification and licensure forms for long-term care facilities in Texas. Key Responsibilities: • Conduct advanced technical...
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Medical Record Coding Specialist
3 weeks ago
San Antonio, Texas, United States Insight Global Healthcare Full timeJob SummaryInsight Global Healthcare is seeking a skilled Medical Record Coding Specialist to join our team. As a key member of our healthcare team, you will be responsible for reviewing, interpreting, and assigning diagnostic and procedural codes based on medical record documentation.Key ResponsibilitiesCode Review and Assignment: Review medical records to...
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Clinical Supervisor/Charge Nurse
1 day ago
San Antonio, Texas, United States Rehabilitation Institute of South San Antonio Full timeJoin Our Team as a Clinical Supervisor/Charge NurseWe are seeking a highly skilled and experienced Clinical Supervisor/Charge Nurse to join our team at the Rehabilitation Institute of South San Antonio. As a Clinical Supervisor/Charge Nurse, you will be responsible for ensuring the provision of safe and effective patient care after hours, on weekends, and on...
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Healthcare Utilization Review Coordinator
3 weeks ago
San Antonio, Texas, United States Summit BHC Full timeAbout the Role:The Clinical Utilization Specialist is responsible for conducting thorough reviews of assigned admissions, continued stays, and discharge planning to ensure compliance with established clinical criteria and regulatory requirements.Key Responsibilities:Perform admission, concurrent, continued stay, and retrospective reviews using established...
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Clinical Utilization Review Specialist
2 weeks ago
San Antonio, Texas, United States CHRISTUS Health Full timeJob SummaryThe RN Utilization Review II is a key member of our healthcare team, responsible for ensuring the clinical appropriateness of care provided to patients and optimizing hospital resource utilization. This role involves performing pre-admission, concurrent, and retrospective reviews to ensure compliance with regulatory requirements and industry...
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Billing Operations Specialist
4 weeks ago
San Antonio, Texas, United States Methodist Le Bonheur Healthcare Full timeOverview Are you seeking a fulfilling career as a Billing Operations Specialist? Methodist Le Bonheur Healthcare offers a remarkable opportunity to join our dedicated team, recognized as a leader in healthcare services. Employee Benefits At Methodist Le Bonheur Healthcare, we provide a comprehensive rewards package designed to enhance the health, lifestyle,...
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Medical Record Coder Specialist
2 weeks ago
San Antonio, Texas, United States Insight Global Full timeJob Summary:We are seeking a skilled Medical Record Coder to join our team at Insight Global. As a Medical Record Coder, you will be responsible for reviewing, interpreting, and assigning diagnostic and procedural codes based upon medical record documentation according to correct coding principles in a dental office.Key Responsibilities:Reviews and...
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Medical Records Coding Specialist
6 days ago
San Antonio, Texas, United States Resource Logistics Full timeJob SummaryWe are seeking a skilled Medical Records Coder to join our team at Resource Logistics. As a Medical Records Coder, you will be responsible for conducting quality reviews of inpatient and outpatient coding, ensuring compliance with federal regulations, and maintaining up-to-date coding guidelines and policy changes.Key ResponsibilitiesReview and...
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Quality Review Specialist
3 weeks ago
San Antonio, Texas, United States Goodwill San Antonio Full timeAbout the RoleThis position will be responsible for performing quality reviews of Service Treatment Records (STRs) for separated and/or retired Total Force Members.Key ResponsibilitiesEnsure all records and loose flowing documents received are accurately entered into the tracking database within the prescribed timelines.Conduct thorough research and ensure...
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Outpatient Coding Specialist
4 weeks ago
San Antonio, Texas, United States Christus Health Full timePosition Title: Outpatient Coding Specialist at CHRISTUS HealthAre you dedicated to ensuring precise coding of outpatient diagnoses and procedures? Become a part of our team at CHRISTUS Health, a leading provider in pediatric healthcare.Overview:Ensure high-quality ICD-10-CM and CPT coding for outpatient encounters.Accurately abstract patient information...
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Fertility Claims Specialist
4 weeks ago
San Antonio, Texas, United States Assure Fertility Partners of San Antonio Full timeJob DescriptionAt Assure Fertility Partners of San Antonio, we are dedicated to providing exceptional fertility care to our patients. As a key member of our team, the Charge Entry Specialist plays a vital role in ensuring the smooth operation of our billing process.Key Responsibilities:Documentation Review: Thoroughly review medical documentation to...