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TrueCare™

Charge Review Associate II

San Marcos, CA · On-site

$25.30 - $35.42/hr

  • Medical

  • Dental

  • Vision

  • Life

  • PTO

Your Role & Impact The Charge Review Associate II performs intermediate-level review, validation, and correction of patient charges; posts and reconciles patient and insurance payments; resolves ...

Franciscan Medical Group

$24.15 - $37.44/hr

Job Summary and Responsibilities As a Charge Review Cash Rep , you will be a central figure responsible for the accurate and timely capture of all billable services and procedures, directly impacting ...

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Charge Review information

What are the key skills and qualifications needed to thrive as a charge review specialist?

To thrive as a Charge Review Specialist, you need a solid understanding of medical billing, coding standards (such as ICD-10, CPT, and HCPCS), and healthcare reimbursement processes, often supported by a relevant certification like CPC or CCS. Familiarity with billing software, electronic health records (EHR) systems, and claim management platforms is essential. Attention to detail, critical thinking, and effective communication are important soft skills for accurately reviewing charges and collaborating with clinical staff. These skills ensure accurate claim submissions, minimize denials, and support the financial health of healthcare organizations.

What does a charge review do?

A charge review involves evaluating financial charges or billing discrepancies, often performed by professionals in finance, accounting, or legal roles. The process includes analyzing records, verifying accuracy, and ensuring compliance with policies or regulations, typically using specialized tools or software. It helps identify errors, prevent fraud, and ensure correct billing practices.

What is a charge review specialist?

A Charge Review specialist is a professional in the healthcare billing and revenue cycle management field who is responsible for reviewing and validating medical charges before they are submitted to insurance companies or patients. Their role involves ensuring that all procedures, diagnoses, and services are accurately coded and compliant with payer requirements and regulations. By identifying and correcting potential errors or discrepancies, Charge Review specialists help prevent claim denials and optimize reimbursement for healthcare providers. They also collaborate with clinical staff and billing teams to resolve issues and maintain accurate patient accounts.

What is the difference between Charge Review vs Charge Auditor?

AspectCharge ReviewCharge Auditor
CredentialsTypically requires billing or coding certificationsOften requires similar certifications, with additional auditing credentials
Work EnvironmentPerforms reviews mainly in healthcare billing departmentsWorks in auditing teams, often within healthcare organizations or consulting firms
Employer & IndustryHospitals, clinics, billing companiesHealthcare auditing firms, hospitals, insurance companies
Search & Comparison IntentUnderstanding billing review processesEvaluating auditing roles and responsibilities

Charge Review professionals focus on analyzing and verifying billing charges for accuracy, often within healthcare billing departments. Charge Auditors perform more in-depth audits, ensuring compliance and identifying billing discrepancies across organizations. While both roles require similar credentials and work in related environments, Charge Auditors typically have a broader scope involving compliance and financial accuracy.

What are some common challenges faced by professionals in charge review roles, and how can they be addressed?

Professionals in Charge Review often encounter challenges such as managing high volumes of claim reviews, staying updated on evolving payer requirements, and identifying billing errors efficiently. To address these, it's important to develop strong attention to detail, utilize up-to-date billing software, and maintain ongoing communication with coding and billing teams. Proactively attending training sessions and industry updates can also help ensure accuracy and compliance, reducing the risk of claim denials.
More about Charge Review jobs
What are the most commonly searched types of Charge Review jobs? The most popular types of Charge Review jobs are:
What job categories do people searching Charge Review jobs look for? The top searched job categories for Charge Review jobs are:
Charge Review jobs near you
Infographic showing various Charge Review job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution.

Charge Review Specialist

Hallmark Global Solutions Ltd

San Luis Obispo, CA • On-site

Other

Posted 9 days ago

Job description

Charge Review Specialist
Job Type:
Evening Shift - 5 x 8s, typically M - F but possible weekend as well.
4pm to 12:30am.
Location:
1010 Murray Ave
San Luis Obispo, CA 93405
Project Duration: 13 months
Job Description:
Must Have strong data entry skills
Job Summary
Reviews, analyzes and coordinates charge master activities. Performs various complex functions related to the revenue cycle operations. Enters outpatient charges accurately into the billing system. Works on routine assignments within defined parameters, established guidelines and precedents. Follows established procedures and receives daily instructions on work.
Job Requirements
High School Education/GED or equivalent
Charge entry billing experience in a healthcare settin
Organizational Expectations
Adheres to the Adventist Health Mission, Vision and Values statements. Complies with behavioral standards, policies, procedures and handbooks established by the organization and their respective ministries. Abides by the guiding principles of the Code of Conduct.
Essential Functions
Collaborates with department to code billable items for reimbursement. Collaborates with appropriate staff to secure information for billable items. Balances charge summary to encounter forms keyed before updating charges. Keeps supervisor apprised of matters regarding charge entry. Analyzes content of reports and software edits to facilitate revisions with appropriate departments. Coordinates projects and audits to improve processes related to revenue cycle, efficiency of charging and billing, and collection efforts. Performs other job-related duties as assigned

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