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The Charge Review Specialist ensures all appropriate billing charges are being captured, documented, charged, and reimbursed for the assigned department in accordance with policies and procedures and applicable regulatory standards. Working under direct supervision, this position monitors charges to comply with internal standards and provides training for staff to ensure procedures are followed.

Essential Job Function:

Ensures accurate and timely charge-capture methodologies are in place in order to facilitate quick service. Reconciles charges against source documents in order to ensure that charges have been captured completely and accurately. Monitors compliance with internal standards and procedures, and reports non-compliance issues to proper authority. Identifies errors and/or omissions, working with the appropriate staff and team members to ensure that corrections are forwarded and incorporated in processing systems in timely manner. Provides training to staff engaged in billing data entry and related charge capture/reconciliation activities in order to ensure procedures are understood and that charges booked are timely, appropriate, accurate, complete and properly documented. Performs other duties as assigned.

Education:

Required:

High School Diploma or equivalent.

Experience:

Required:

1 year of recent directly related work experience in a healthcare environment.

Licensure/Certification/Listing: