Randstad Charge Audit Assistant in Somerville, Massachusetts

Charge Audit Assistant

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job details:

  • location:Somerville, MA

  • salary:$19 per hour

  • date posted:Tuesday, September 12, 2017

  • job type:Temporary

  • reference:S_567603

  • questions:neil.leo@randstadusa.com617-643-3704

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description

The primary responsibilities for the Charge Audit Assistant position include assisting the Charge Audit team in the PHS Revenue Integrity Department. Activities include but are not limited to coordinating charge audits that are conducted for facilities within the Partner's network in accordance with the Charge Audit Policy and established departmental policies/procedures. Another aspect of this position is to help support the work queue team when needed.

  1. Responsible for printing itemized bills and pharmacy profiles for all cases submitted on letter of intent notifications by Audit Representatives.

  2. Check status of claim balance for requested audits in claims system (EPIC).

  3. Send out itemized bills and profiles to the Audit Representatives 30 days prior to the scheduled audits.

  4. Schedule audits, enter information into the audit management tool (Cobius), and add comments into claims systems.

  5. Schedule medical records retrieval and correspond with HIM departments to provide needed information on audits.

  6. Correspond with Audit Representatives regarding the scheduled date of the audit and other needed information, including but not limited to not being able to perform an audit or medical records availability.

Working hours: day job

Skills:

The charge audit assistant should have knowledge, experience and expertise in the following areas:

--Format and content of a medical record and various forms of medical/clinical documentation.

--Medical Terminology and coding knowledge including CPT and HCPCS.

--State and Federal regulations concerning the use, disclosure and confidentiality of patient information.

--Auditing principles and standards as applicable to charge audits.

--Billing and charge capture procedures and claim forms, such as the UB92.

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