Manager of Clinical Charge Audit

Remote, CA 90802

Job Number: 2656

Job Description


Manager of Clinical Charge Audit – MANAGED RESOURCES

Full-Time- Remote- Permanent with Occasional Travel to Clients

Job Overview/Purpose

The Manager of Clinical Charge Audit oversees the daily operation of the audit team. Most audits performed are inpatient charge audits with some outpatient audits and compliance audits such as Inpatient Rehabilitation documentation reviews. The Manager represents Managed Resources in client interactions by providing reports on audit findings, accurate regulatory advice, process improvement strategies, and education. The Manager works in collaboration with the Director of Clinical Charge Audit.

Founded in 1994 Managed Resources (MRI) in Long Beach California, MRI partners with clients nationwide to help them solve complex revenue cycle and compliance challenges.  In our over 25 years of operations, MRI has had the pleasure of working with many of the most prestigious healthcare organizations and medical groups in the county that span from the Hawaiian Islands to the East Coast.  

Please read the below description and apply if you meet the requirements and would like to hear more about this opportunity with Managed Resources.

DESCRIPTION
  • Oversee the day-to-day functions of the Clinical Charge auditors including timeframes, assignments, providing audit guidance related to regulations and charge policies, and quality assurance.
  • Serve as client liaison for audit clients including assistance with reporting of audit results and improvement strategies.
  • Subject matter expert for Clinical Charge Audit questions from Nurses and Clients.

 

CERTIFICATIONS
  • CCFA Certified Clinical Financial Auditor and coding certification preferred.
  • RN License

QUALIFICATIONS

Ideal candidate will possess the following:

 
  • Registered Nurse with previous management experience preferred; BSN preferred.
  • Strong skills including analytical, verbal communication, written communication, customer service, time and project management, and leadership.
  • Leadership skills to include organizing a meeting, completing performance evaluations, ability to present Power Point demonstrations to clients.
  • Possesses knowledge and experience with regulations related to inpatient and outpatient charges.
  • Working knowledge of billing codes, Revenue Codes, CPT’ s, etc.
  • Experience with and knowledge of chargemaster, contracts, and revenue cycle functions.
  • Working knowledge of EPIC, Cerner and excel.
  • Working knowledge of provider billing guidelines, payer reimbursement policies, and related industry-based standards.
  • Ability to examine financial and clinical data trends and provide recommended action plan.
  • Integrity and commitment to excellence.
  • Strong skills including analytical, verbal communication, written communication, customer service, time and project management, and leadership.

 

 

Managed Resources is an Equal Opportunity Employer (EOE) M/F/D/V/SO

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