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Charge Review Jobs (NOW HIRING)

Upstate University Hospital

Charge Poster

Syracuse, NY

$20 - $35.50/hr

Daily charge poster is responsible for reviewing office notes for documentation accuracy and charge review. Knowledge of insurance requirements for modifiers, diagnoses, and inclusivity. Daily ...

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

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 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.

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.

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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 May 2026, with employment types broken down into 50% Full Time, and 50% Temporary. Highlights an 100% In-person job distribution.
Charge Review Specialist

Charge Review Specialist

Orthopaedic Specialty Group

Shelton, CT

Other

Posted 7 days ago

Job description

JOB SUMMARY: Reviews all encounters in CPS Charge review for correct CPT level of service, ICD-10CM coding, and documentation requirements. Ability to identify coding trends, and provide feedback to CDI Team and providers.
EDUCATIONAL REQUIREMENTS:
  • High school diploma required
  • College education or trade school preferred
  • Certified Professional Coding certification preferred
QUALIFICATIONS AND SKILLS:
  • Minimum 1 year experience working in a physician group practice billing department
  • Working knowledge of CPT and ICD10-CM coding for orthopaedic surgery
  • Comfortable using email and interacting with Internet applications
  • Knowledge of practice management and word processing software
  • Able to establish good relationships with insurance companies
  • Good analytical skills and an affinity for detail
  • Ability to read and analyze accounts receivable and payor reports
  • Pleasant speaking voice and demeanor
  • Neat, professional appearance
  • Strong written and verbal communication skills
Essential responsibilities include, but are not limited to:
Charge Review work queue
  • Accurately reviews all encounters in the office setting for coding and documentation requirements, based on CPT guidelines. Substantiates medical necessity for all encounters.
  • Appends CPT modifiers appropriately. Follows Hosted Claims Manager coding edits, and recommends updates to HCM accordingly. Follows NCCI guidelines for bundling of services.
  • Maintains detailed knowledge of practice management and other computer software as it relates to job functions
  • Reconciles that all charges have been captured on a monthly basis. Reaches out to providers to verify and validate information, as well as providing real time coding education.
  • Acts as a practice resource for CPT and ICD10 CM coding guidelines. Responds to written and telephone inquiries from other OSG departments.
  • Identifies areas of redundancy or deficiency within the Charge Review work flow
  • Meets with Charge Review and a member of the Accounts Receivable Team monthly to discuss coding, reimbursement, and work flow issues.
Other
  • Maintains patient confidentiality; complies with HIPAA and compliance guidelines established by the practice
  • Attends regular staff meetings as requested
  • Attends AAPC, AAOS continuing education sessions on an ongoing basis
  • Performs any additional duties as required by the Billing Department

Supervisory Responsibilities
This job has no supervisory responsibilities.
Typical Physical Demands
Work may require sitting for long periods of time, and also stooping, bending and stretching for files and supplies. Employee will occasionally be asked to lift files or paper weighing up to 30 pounds. Position requires manual dexterity sufficient to operate a keyboard, operate a computer, telephone, copier, and such other office equipment as necessary. Vision must be correctable to 20/20 and hearing must be in the normal range for telephone contacts. Position also requires viewing computer screens and typing for long periods of time, and working in an environment which can be very stressful.

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