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Charge Capture Auditor Jobs in Colorado (NOW HIRING)

Clinic Financial Liaison

Durango, CO · On-site

$61K - $81K/yr

To be successful in this role, you will possess strong auditing and analytical skills, meticulous attention to detail in clinical billing and charge capture, and the ability to effectively ...

Charge Capture Auditor information

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 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 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.

What are popular job titles related to Charge Capture Auditor jobs in Colorado?

For Charge Capture Auditor jobs in Colorado, the most frequently searched job titles are:

What job categories do people searching Charge Capture Auditor jobs in Colorado look for?

The top searched job categories for Charge Capture Auditor jobs in Colorado are:

What cities in Colorado are hiring for Charge Capture Auditor jobs?

Cities in Colorado with the most Charge Capture Auditor job openings:

Clinic Financial Liaison

CommonSpirit Health

Durango, CO • On-site

$61K - $81K/yr

Full-time

Re-posted 4 days ago


CommonSpirit Health rating

6.9

Company rating: 6.9 out of 10

Based on 535 frontline employees who took The Breakroom Quiz

456th of 888 rated healthcare providers


Job description

CommonSpirit Medical Group (CMG) offers providers a true opportunity to live their calling to care while experiencing the support of a built-in comprehensive network, vast resources, professional growth, trusted leadership, generous benefits and an amazing quality of life with locations in Colorado, Kansas and Utah. CMG is proud to connect providers and consumers through state-of-the-art technology, clinical resources and professional expertise to help people live healthier. Our coordinated services represent a full continuum of care – from preventive and early diagnoses to leading-edge treatment and life-saving critical care. CMG’s ability to deliver better health care value is the direct result of combining the best clinical tools, shared resources and medical expertise with a patient-centered approach that emphasizes CommonSpirit Mountain Region’s mission and commitment to quality, compassion and service.


As our Clinic Financial Liaison, you will perform clinical and operational audits to verify information accuracy and compliance with established policies, practices, and regulations, aiming to improve the efficiency and effectiveness of financial operations.
Every day you will ensure timely and accurate recording of clinical billing for charge capture, facilitate education on ongoing trends and charge capture issues, and coordinate essential communications between coding and clinic/providers.
To be successful in this role, you will possess strong auditing and analytical skills, meticulous attention to detail in clinical billing and charge capture, and the ability to effectively communicate, educate, and coordinate efforts between coding and clinical teams to optimize financial operations.

  • Oversight and management of assigned front and back end work queues.
  • Work closely with clinic supervisors and assistant administrators regarding front and back end processes.
  • Responsible for coordinating concurrent, internal, defensive, and patient-requested audits of selected patient accounts with appropriate individuals in revenue cycle and/or coding & communicates as needed to patients or other stakeholders.
  • Facilitates resolution of charge capture edits to ensure timely billing.
  • Serves as liaison between coders, providers, and management to streamline charge capture.
  • Facilitates communication of any changes in coding or revenue cycle workflows to providers, management, and other clinic staff to promote an effective flow of information through the organization.

Required

  • High School Diploma/G.E.D.
  • Two (2) years of experience in Healthcare, Reimbursement Services, Clinical audit, Medical Records, and/or Government Billing Regulations

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