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Charge Review Jobs (NOW HIRING)

Rush University

Charge Capture Specialist 1

Chicago, IL · On-site

$20.19 - $31.80/hr

Responsible for assigned Account, Charge Review, and Claim Edit Work queues and the continual monitoring, reduction, and transfer of AR associated with assigned areas * Follows-up on all incomplete ...

New

HealthQ

Medical Billing Assistant

Beverly, MA · On-site

$18.50 - $23/hr

Charge Review and Claim Submission * Review encounters and charges for completeness and accuracy prior to claim submission. * Ensure appropriate CPT, HCPCS, and ICD-10 codes are documented. * Submit ...

Rush

Charge Capture Specialist 1

Chicago, IL · On-site

$20.19 - $31.80/hr

The Charge Capture Specialist follows charge capture initiatives and develops processes and ... reviewing charges in an EMR system (i.e. EPIC). • AAPC or AHIMA certification in coding.

New

HealthQ

Medical Billing Assistant

Beverly, MA

$18.50 - $23/hr

Charge Review and Claim Submission * Review encounters and charges for completeness and accuracy prior to claim submission. * Ensure appropriate CPT, HCPCS, and ICD-10 codes are documented. * Submit ...

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Charge Review information

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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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.
Analyst, IT, Charging Systems (Remote Position)

Analyst, IT, Charging Systems (Remote Position)

Duke University

Durham, NC • On-site, Remote

Full-time

Posted 6 days ago

Duke University rating

6.5

Company rating: 6.5 out of 10

Based on 54 frontline employees who took The Breakroom Quiz

435th of 532 rated colleges and universities

Job description

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.
Patient Revenue Management Organization
Pursue your passion for caring with the Patient Revenue Management Organization, which is the fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions for Duke Health.
General Description of the Job Class
The PRMO Billing System's IT Analyst plays a key role in the Revenue Cycle. Acting as a subject matter expert in Charge Router and Charge Review, the analyst will work closely with the Maestro Care teams on system build. The incumbent will provide identified liaison services between the PRMO Revenue Management Department and the Maestro Care teams. Also, facilitating communication across various teams in the PRMO and outside as well.
Reports to Analyst IT, Senior of Billing Systems Team
Duties and Responsibilities of this Level
  • Manage the documentation, resolution and completion of identified deployment issues and tasks to include maintaining accuracy for Internal Controls initiative
  • Responsible for overseeing all Service Now requests for Revenue Management Department, excluding Clinical Research, overseeing all Charge Router-Review logic updates and Charge Router -Review Work Queues and collaborate with management and end users to request, test, and implement changes to the Charge Router for compliant billing
  • Responsible for Revenue Management support of Account, Follow-Up and Claim Edit Work Queues and Billing related components in Master Files for DEP updates (e.g., charging method, POS, linked technical charges) and updates to missing Bill Area process
  • Oversee Preference List updates for both Ambulatory and Inpatient specifically Charge Router, Error Pool and PB Work Queues and Monitoring of specific PB Charge Review Work Queues for system updates
  • Review release notes related to current and new functionality. Report, document and escalate issues and Epic upgrade/new version testing, validation and implementation
  • Formally participate and initiate meetings for review of billing issues and / or system logic updates identifying scope changes and raise issues or risks when discovered
  • Liaison for Revenue Management to Maestro Care Team to provide hands-on support to the Maestro Care PB and HB Teams

Required Qualifications at this Level
Education: Bachelor's degree or 4 years' experience equivalent to a degree
Experience: 4 years pertinent experience
Degree, Licensure, and/or Certification:
This person will be required to obtain Epic Resolute Professional Billing Office Administration for SBO and SBO Admin or Resolute Hospital Billing Office Administration for SBO and SBO Admin certification through a formal Epic training program. Training will commence on the first available date with Epic for up to a period of six weeks, and may include classroom instruction, project assignments, competency exams, and e-learning classes. Failure to obtain Epic Resolute PB or HB and SBO certification within the defined timeline may result in termination.
Knowledge, Skills and Abilities:
  • Understand the principles of application systems development and use them to analyze, test, implement, maintain and document IT projects. Identify the features, advantages and disadvantages of various software applications.
  • Excellent problem solving, analytical, and technical troubleshooting skills.
  • Prioritization skills and ability to manage multiple projects concurrently.
  • Ability to work on a flexible schedule
  • Strong research and documentation skills.
  • Some relational database and operating systems experience with SQL
  • Able to communicate effectively with non-technical staff and with members of interdisciplinary teams.
  • Ability to work independently

Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions:
Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

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About Duke University

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Duke is regarded as one of America's leading research universities. Located in Durham, North Carolina, Duke is positioned in the heart of the Research Triangle, which is ranked annually as one of the best places in the country to work and live. Duke has more than 15,000 students who study and conduct research in its 10 undergraduate, graduate, and professional schools. With about 40,000 employees, Duke is the third largest private employer in North Carolina, and it now has international programs in more than 150 countries.

Industry

Colleges, universities, and professional schools and hospitals

Company size

10,000+ Employees

Headquarters location

Durham, NC, US

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