Charge Audit Specialist

Represents BJC in supporting charging accuracy among clinical departments.

Demonstrates knowledge and technical expertise of the PA patient management and case management system to correct charges and promote billing accuracy. Demonstrates critical thinking in CDM data management assignments. Responds to requests and serves as a system resource in resolution of charging problems, data entry of CDM items, and payment error prevention. Serves as a liaison and resource between clinical and PA departments.

Collaborates with Patient Accounts, HIM, UR, Charge Audit, Charge Management, and other charging departments as appropriate for charge issue resolution and process improvement.

Manages assigned work queues and completes accounts in queue in a timely manner.

Shares trends with the Manager and/or Charge Management service line analyst so they can provide education to staff.

Utilizes system and department reference material to ensure appropriate processes and guidelines are being followed.

Assists with charge correction projects as needed.

Attends and participates in monthly team meetings and attends in-person quarterly team meetings.

Charge Audit department responsibilities include managing metro facility mailboxes and responding to requests to assist charging departments with questions, issues, and charge correction. Performs charge capture for non-infusion charges for OB departments at some metro facilities. Reviews patient medical records and validates documentation to support charges.