Role OverviewThe Charge Capture Specialist - AI Trainer will oversee charge capture, charge integrity, and revenue integrity functions to ensure accurate and compliant charge submission. They will evaluate AI-generated charge review outputs, coding recommendations, and revenue integrity alerts for accuracy and compliance.
What You Will Do
Conduct charge audits to identify missed charges, duplicate charges, and charge capture errors across clinical departments. Manage and maintain the charge description master (CDM), ensuring accuracy of charge codes, revenue codes, and pricing.
Why It Might Be a Fit
The ideal candidate will have 5+ years of experience in charge capture, charge integrity, revenue integrity, or healthcare compliance. They will have a deep knowledge of CDM management, revenue codes, charge capture workflows, and billing compliance.
Requirements
- 5+ years of experience in charge capture, charge integrity, revenue integrity, or healthcare compliance
- Deep knowledge of CDM management, revenue codes, charge capture workflows, and billing compliance
- Strong understanding of CMS billing guidelines, Medicare Part A/B billing rules, and OIG compliance requirements
- Proficiency with charge capture systems, EHR platforms, and revenue integrity tools
- Experience conducting charge audits and developing corrective action plans
- Exceptional written and verbal English communication skills
- High attention to detail with the ability to identify billing errors and compliance risks in AI-generated outputs
Benefits
- Hourly compensation of $88
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