Chart Auditor - Revenue Cycle Operations - Full Time 8 Hour Days (Exempt) (Non-Union)

Chart Auditor The Chart Auditor is responsible for validating, clearing, and finalizing DNB edits either in the PFS host Patient Accounting system or claims editing system. At times, the Chart Auditor may conduct insurance audits with designated payer auditor per contractual terms. The Chart Auditor may also be responsible for hospital department communication including disputed charges, charge capture, and pending supporting documentation. Essential Duties Interact with hospital departments including the PFS Business Office, and or insurance/payers on audits, disputed charges and hospital billing and charging problems. Communicate with hospital department directors on a weekly or as needed basis on outstanding or missing documentation or charging issues. Complete charge audits or billing edits as necessary in a timely and accurate manner. Assist with training for new hires or temporary/contract staff. Comply with USC University Hospital guidelines. Communicate with insurance companies or auditing services to resolve complaints or defense audits. Complete department charge master updates and department requests timely and accurately. Find solutions to existing charging problems. Schedule and conduct high dollar amount defense audits of patient medical records with insurance company representatives to verify documentation to support hospital charge corrections and coordinate necessary re-bills based on agreed audit results. Validate and manage bill holds relating to charge reviews held by Risk Management. Coordinate approvals with Risk Management and bill release process. Conduct concurrent or focus audits to validate charge capture audits on randomly selected accounts monthly to identify charging issues which may indicate deficiencies in charge pathways and processes and target specific departmental issues. Consistently and thoroughly work DNFB and PFS claim edits work lists to ensure timely completion within Keck USC policies and monthly goals. Assist and support the Director of Revenue Analysis and Director of A/R Management as assigned. Perform any other duties and responsibilities as assigned. Required Qualifications High school or equivalent. Read, write and follow written and verbal instructions. Working functions of the Medical Record Department. Good organizational skills and the ability to effectively handle multiple priorities and deadlines. Operate standard office equipment, for example, scanning equipment, fax machines, multi-line telephone system and copy machines. Work independently and as a team member. Maintain confidentiality of sensitive information. Preferred Qualifications Specialized/technical training. Graduate from an accredited program in LVN, RN, Certified Coding Specialist or Professional Coder. 1 year Experience in medical auditing or HIM coding. Computers and keyboarding skill, PC, Windows, Excel. Licensed Vocational Nurse - LVN (CA DCA) or Registered Nurse - RN (CA DCA) or Certified Coding Specialist - CCS (AHIMA) or Certified Professional Coder - CPC (AAPC). Required Licenses/Certifications Fire Life Safety Training (LA City). If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. The annual base salary range for this position is $68,640.00 - $112,370.00. USC is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, or any other characteristic protected by law or USC policy. USC observes affirmative action obligations consistent with state and federal law. USC will consider for employment all qualified applicants with criminal records in a manner consistent with applicable laws and regulations, including the Los Angeles County Fair Chance Ordinance for employers and the Fair Chance Initiative for Hiring Ordinance, and with due consideration for patient and student safety. We provide reasonable accommodations to applicants and employees with disabilities. Applicants with questions about access or requiring a reasonable accommodation for any part of the application or hiring process should contact USC Human Resources by phone at View phone number on click.appcast.io, or by email at View email address on click.appcast.io. Inquiries will be treated as confidential to the extent permitted by law. #J-18808-Ljbffr University of Southern California