Full employer posting
Penn Highlands Healthcare has been awarded on the Forbes list of Best-in-State Employers 2022. This prestigious award is presented by Forbes and Statistica Inc., the world leading statistics portal and industry ranking provider. The Revenue Integrity Clinical Charge Auditor is responsible for reviewing and auditing clinical documentation and charge capture processes to ensure accurate billing and reimbursement for healthcare services.
This role collaborates with clinical staff, coding professionals, and revenue cycle teams to identify discrepancies, educate staff, and promote best practices for charge capture and documentation. The auditor acts as a subject matter expert in clinical care, charge integrity, and compliance with regulatory and payer requirements.
At minimum an Associates’ degree in a clinical field of study, ex: Nursing, Respiratory, Radiology, Lab, etc required. Candidates must hold at least one active clinical license or certification in good standing Nursing : RN, BSN, LPN, LVN, Imaging/Radiology: ARRT (R), ARRT ,CT, MR, VI/CI, ARDMS- Respiratory Therapy : RRT, CRT- Laboratory : MLS(ASCP), MT(ASCP), MLT(ASCP)- Therapies : PT/DPT, PTA; OT, COTA; CCC-SL , Knowledge of healthcare billing and practices, coding systems (ICD-10, CPT), and payor regulations.
Proficient in electronic health record (EHR) systems and Microsoft Office Suite Minimum 3 years of clinical experience and 2 years in revenue integrity, charge capture, coding, or auditing W WHAT WE OFFER: Competitive Compensation Shift Differential Professional Development Supportive and Experienced Peers
Medical, Dental, and Vision offered after completion of introductory period Paid Time Off 403(b) retirement plan with company match Company Paid Short & Long Term disability coverage Company Paid and Voluntary Life Insurance Flex Spending Account Employee Assistance Program (EAP) Health & Wellness Programs
About the role
The Revenue Integrity Clinical Charge Auditor is responsible for reviewing and auditing clinical documentation and charge capture processes to ensure accurate billing and reimbursement for healthcare services. This role collaborates with clinical staff, coding professionals, and revenue cycle teams to identify discrepancies, educate staff, and promote best practices for charge capture and documentation.