System Supervisor - Charge Audit/Claims Edit

Contract to Hire Job # 25198 System Supervisor – Charge Audit/Claims Edit Compensation and Schedule for the System Supervisor – Charge Audit/Claims Edit System Supervisor – Charge Audit/Claims Edit – Full-time, work-from-home, $39-$43 per hour, Monday to Friday, 8:00am to 5:00pm. Join a growing team! Required Qualifications of the System Supervisor – Charge Audit/Claims Edit 5+ years of recent charge capture, revenue integrity, claims auditing, or healthcare revenue cycle experience required Recent leadership/supervisory experience preferred CPC, CCS, CRC, RHIA, RHIT, or other relevant certification preferred Bachelor’s degree in healthcare administration, business, finance, HIM, or a related field preferred Must successfully pass a criminal background check and drug screen Job Summary for the System Supervisor – Charge Audit/Claims Edit Lead charge audit operations, claims edit oversight, and revenue integrity initiatives by ensuring accurate charge capture, reducing denials, maximizing reimbursement, and improving overall claims quality through auditing, reporting, education, and process improvement initiatives. Responsibilities of the System Supervisor – Charge Audit/Claims Edit Supervise and oversee charge capture audit activities to ensure accurate billing and compliant charge entry practices Audit claim edits on the front end Perform detailed quality audits on medical charges, claims, and revenue cycle workflows Review and resolve complex and high dollar claim denials, identifying root causes, and implementing corrective actions to improve outcomes Manage claims edits and work collaboratively with operational teams to reduce billing errors and prevent revenue leakage Ensure compliance with Medicare regulations, including Local Coverage Determinations (LCD) and National Coverage Determinations (NCD) Develop and maintain audit reporting metrics to monitor trends, denial patterns, reimbursement opportunities, and process improvement initiatives Partner with vendors and internal stakeholders to ensure accountability, quality performance, and report structure Provide ongoing education and training to clinical and revenue cycle teams regarding charge accuracy, documentation requirements, coding compliance, and billing best practices Identify opportunities to increase Medicare and commercial insurance reimbursement through accurate charge capture and compliant billing practices Support continuous improvement initiatives focused on maximizing revenue, improving denial prevention strategies, and enhancing overall claims accuracy Assist leadership with workflow optimization, audit findings, compliance reviews, and operational recommendations About the Company This well-known and successful healthcare system has remained a symbol of quality for nearly 40 years. They are the 5th largest healthcare system in the nation, with more than 60,000 caregivers and staff who deliver excellent care to diverse communities in 21 states. This organization has an immediate need for a skilled and outgoing System Supervisor – Charge Audit/Claims Edit to join their team! EEO Statement Health Advocates Network, Inc. is an equal opportunity employer. All qualified applicants shall receive consideration for employment without regard to any legally protected basis under applicable federal, state or local law, except where a bona fide occupational qualification applies. EOE including Veterans/Disability #J-18808-Ljbffr Health Advocates Network