Senior Charge Entry Auditor

7 days ago

Morong, Philippines beBeeAuditor Full time ₱800,000 - ₱1,200,000
Charge Entry Quality Assurance Specialist

The Charge Entry Quality Assurance (QA) Specialist is responsible for ensuring the accuracy and compliance of charge entries within the revenue cycle management department. This role involves reviewing, validating, and auditing charge entries to maintain high standards of data integrity, billing accuracy, and regulatory compliance.

Responsibilities
  • Conduct routine audits of charge entry transactions to ensure accuracy, completeness, and adherence to billing guidelines and regulatory requirements.
  • Identify discrepancies, errors, and anomalies in charge entry data and escalate issues to relevant stakeholders for resolution.
  • Review charge entry documentation for proper coding, documentation, and authorization, verifying that all required information is captured accurately.
  • Maintain meticulous records of audit findings, corrective actions, and trends to facilitate continuous improvement.
Key Performance Indicators
  • Quality assurance metrics such as accuracy rates, audit completion rates, and error reduction rates
  • Compliance monitoring metrics such as regulatory compliance rates, audit results, and corrective action implementation rates
  • Training and education metrics such as training program effectiveness, staff knowledge retention, and skills enhancement rates
  • Process improvement metrics such as workflow efficiency gains, automation adoption rates, and quality control measures implemented
Requirements
  • Bachelor's degree in any related field or equivalent work experience
  • Minimum of 2-3 years of experience in revenue cycle management, medical billing, or healthcare finance
  • Proficiency in medical terminology, CPT, HCPCS, and ICD-10 coding conventions
  • Strong analytical skills with the ability to identify patterns, trends, and anomalies in data
  • Excellent attention to detail and accuracy in reviewing complex billing and coding information
  • Knowledge of healthcare regulations, compliance requirements, and payer policies
Working Environment

The Charge Entry QA Specialist will work in a fast-paced environment with multiple stakeholders, requiring effective communication and collaboration skills. The ideal candidate will be able to prioritize tasks, manage time efficiently, and meet deadlines while maintaining confidentiality and integrity in handling sensitive patient information.

What We Offer
  • Competitive compensation package based on various factors including geographic location, skill set, experience, qualifications, and other job-related reasons
  • Discretionary incentive bonus in accordance with company policies
  • Opportunities for professional growth and development through training initiatives and process improvement projects

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