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Charge Capture Auditor Jobs (NOW HIRING)

Jzanus Consulting

Nurse Auditor

Garden City, NY · On-site

$87K/yr

... charge capture auditing. 2. Audits and reconciles services and items included in the patient's chart with services and items included on the patient's bill in a timely manner. Where exceptions are ...

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How much do charge capture auditor jobs pay per hour?

As of May 28, 2026, the average hourly pay for charge capture auditor in the United States is $17.99, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $19.95 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Charge Capture Auditor, and why are they important?

To thrive as a Charge Capture Auditor, you need a solid understanding of medical billing, coding practices (such as ICD-10, CPT, and HCPCS), healthcare regulations, and a relevant degree or certification like RHIA, RHIT, or CPC. Familiarity with electronic health records (EHR) systems, auditing tools, and revenue cycle management platforms is essential. Attention to detail, analytical thinking, and strong communication skills are invaluable for identifying discrepancies and working with clinical staff. These skills ensure accurate charge capture, compliance, and optimal revenue integrity for healthcare organizations.

What are some common challenges Charge Capture Auditors face in ensuring accurate billing and coding?

Charge Capture Auditors often encounter challenges such as discrepancies between clinical documentation and billed charges, rapidly changing coding regulations, and the need to coordinate with multiple departments to resolve errors. They must stay vigilant to catch missed or incorrect charges while balancing high volumes of data review. Effective collaboration with clinical staff and billing teams is crucial for resolving ambiguities and ensuring compliance with industry standards.

What is a Charge Capture Auditor?

A Charge Capture Auditor is a healthcare professional responsible for reviewing clinical documentation and billing records to ensure that all services provided to patients are accurately captured and billed. They help healthcare organizations maintain compliance with regulations, minimize revenue loss, and prevent billing errors or fraudulent claims. Charge Capture Auditors work closely with clinical staff, coders, and billing teams to identify discrepancies and improve charge capture processes.

What is the difference between Charge Capture Auditor vs Medical Billing Specialist?

AspectCharge Capture AuditorMedical Billing Specialist
CredentialsTypically requires certification in coding or auditing (e.g., CPC, CHCA)Often requires certification in billing or coding (e.g., CPC, CCS)
Work EnvironmentHealthcare facilities, hospitals, outpatient clinicsMedical offices, billing companies, healthcare providers
Primary FocusReviewing and ensuring accurate charge capture and complianceProcessing and submitting insurance claims and patient billing

While both roles involve coding and healthcare finance, a Charge Capture Auditor primarily focuses on reviewing charges for accuracy and compliance, whereas a Medical Billing Specialist handles the overall billing process, including claim submission and follow-up.

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Charge Capture Auditor jobs near you
Charge Capture Auditor

Charge Capture Auditor

KPC GLOBAL MEDICAL CENTERS INC.

Santa Ana, CA • On-site

$32.73 - $48.04/hr

Full-time

Posted 20 days ago

Job description

SUMMARY

The primary responsibility of the Revenue Integrity Charge Capture/Billing Auditor is to monitor clinical activities related to billing compliance. This position acts as a liaison between the facility and the Centralized Business Office. This position must have the ability to work effectively with payers, patients, clinicians, Health Information Management, and other employees.

REQUIREMENTS

RESPONSIBILITIES AND DUTIES:

  • Identifying coding issues, including NCCI edits, modifiers and CPT assignment. Providing education and training regarding correct coding for revenue producing departments.
  • Promotes the accuracy of coding/billing practices and identifies deficiencies and inaccuracies in recording charges for services rendered.
  • Performs clinical reviews of medical records and associated billing to identify potential billing inaccuracies.
  • Works closely with clinical departments to improve charging related workflow.
  • Coordinates charge reviews for retrospective or concurrent, corporate special projects, and other billing reviews as identified.
  • Performs other duties as assigned.
  • Conducts audits to determine organizational integrity of billing facility and technical hospital fees, including detection and correction of documentation, coding and billing errors, and/or medical necessity of services billed.
  • Evaluate the adequacy and effectiveness of internal and operational controls designed to ensure that practices lead to appropriate execution of regulatory requirements and guidelines related to facility and technical fee documentation, coding and billing, including federal and state regulations and guidelines, CMS and other third party payor billing rules.
  • Applies consistent and standardized compliance audit methodology for sample selection, scoring and benchmarking, development and reporting of findings and repayment calculations.
  • Assists the Revenue Integrity Director with charge capture process and electronic medical record functionality and makes recommendations for improvement, assisting with the development of documentation and coding tools and templates, and makes documentation, coding, and billing process improvement recommendations Serve as institutional subject matter experts and resources on interpretation and application of documentation and coding rules and regulations, medical necessity of services delivered, and conduct enterprise risk assessments of potential and detected compliance deficiencies.
  • Assist with ad-hoc finance operations and revenue cycle projects.

EDUCATION & EXPERIENCE REQUIREMENTS:

  • Prefer active certification or licensure as a RHIT, CCS, CCP,CPC or other recognized AHIMA certified coding credential; other healthcare related credential such as (but not limited to) LPN, LVN or RT
  • Minimum 1 year of experience with charge capture auditing, clinical documentation integrity or similar role for a complex acute care institution preferred.

ABILITIES REQUIREMENTS:

  • Broad knowledge of health care and/or hospital business office practices and principles.
  • Knowledge and understanding of state and federal rules and regulations related to Medicare and MediCal.
  • Must possess strong communication skills, both written and oral.
  • Strong customer service skills that ensure a high level of customer satisfaction and promotes collaborative alliances and teamwork.
  • Proficiency in Microsoft Office applications and others as required.

PHYSICAL REQUIREMENTS:

• Body Positions: Sitting and standing for prolonged periods.

• Body Movements: Arm and hand dexterity.

• Body Senses: Must have command of close and distant sight, color perception and hearing.

• Strength: Ability to lift and move up to 25-pounds.

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About KPC Health

Sourced by ZipRecruiter

KPC Health has an integrated approach to serving the people of Riverside, San Bernardino and Orange County. Our acute care medical centers provide high quality, comprehensive and affordable healthcare for the entire family. For us, healthcare is not just about caring for our patients, but also about investing in the people throughout our communities. We are one team with one mission and that mission is for all our patients, and their families to Enjoy Life in Great Health.

Industry

Health care and social assistance

Company size

201 - 500 Employees

Headquarters location

Santa Ana, CA, US

Year founded

2004

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