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Join TriHealth as a Medical Charge Auditor!
TriHealth empowers Medical Charge Auditors to make a meaningful impact on financial accuracy and patient care by performing detailed, concurrent audits that directly support optimal reimbursement and operational excellence. In this role, you'll apply your clinical background, analytical skill set, and understanding of hospital billing to identify charge discrepancies, collaborate with clinical departments, and contribute to systemwide improvements. You'll work with advanced applications, sharpen your knowledge of CPT/HCPCS coding, and engage in continuous learning as healthcare regulations evolve - all while serving as a trusted liaison between patient care teams and Revenue Management.
As one of the region's most respected healthcare systems, TriHealth offers a culture rooted in collaboration, integrity, and professional growth. Team members benefit from strong leadership support, opportunities for skill development, and a workplace that values accuracy, innovation, and shared success. Joining TriHealth means becoming part of an organization committed to high-quality care, operational excellence, and creating an environment where employees feel supported and empowered to thrive.
Apply today and grow your career with a team that truly values you.
Location:

• Work from Home
  
  • Remote position but will need to come in person for meetings occasionally.

Work Schedule:

• Full-Time (80 hours bi-weekly)
• Day Shift
• No Weekend, Holiday or On-Call Commitment

Incentives & Benefits:
TriHealth offers a comprehensive benefits package - including medical, dental, vision, paid time off, retirement plans, and tuition reimbursement. Please view our benefits page https://careers.trihealth.com/what-we-offer/benefits
Job Requirements:

• Associate's degree or Diploma in Healthcare; Nursing science or radiological science/technology
• An overall understanding of hospital charging/billing and reimbursement methodologies which includes basic understanding of CPT/HCPCS code sets Strong MS Office Excel and Outlook skills
• 3-4 years' experience Clinical in Healthcare Nursing or radiologic technology

Job Overview:
The Medical Charge Auditor is responsible for performing detailed concurrent financial audits by comparing the itemized hospital bill to documentation provided in the electronic medical record. The auditor is responsible for charge correction in hospital account maintenance of identified charge errors. Detailed monthly findings of charge errors will be reported to clinical department management and senior leadership. Hospital billing and coding rules change frequently so the auditor must be comfortable with constant learning and changes in processes. The Medical Auditor must be able to navigate and run multiple applications simultaneously. Strong knowledge or ability to learn MS Excel and Outlook is needed as well as understanding of medical terminology, medical procedures and general hospital operations. This position acts as a liaison between patient care departments and Revenue Management to reduce/eliminate errors and enhance optimal reimbursement. The Medical Charge Auditor will periodically be required to work on temporary projects and reports to the supervisor of Internal Charge Audit.
Job Responsibilities:

• Performs concurrent review of hospital bills to document unbilled, under billed and over billed items/services.
• Submits charge documents as required by each facility to reconcile charges to items/services documented in the medical record.
• Meets productivity standards balancing productivity and quality of accurate charge identification.
• Performs accurate review of charts, clinical record information, disease process and coding methodologies.
• Works closely with hospital departments to improve charging accuracy and collaborates with Revenue Management staff to identify and implement revenue opportunities.
• Prepares reports as required by management regarding audit results, process improvement recommendations and systemic billing errors.
• Demonstrates proficiency in the use of all internal software applications.

Other Job-Related Information:
Working Conditions:
Climbing - Rarely
Concentrating - Consistently
Continuous Learning - Frequently
Hearing: Conversation - Frequently
Hearing: Other Sounds - Occasionally
Interpersonal Communication - Frequently
Kneeling - Rarely
Lifting <10 Lbs - Occasionally
Pulling - Rarely
Pushing - Rarely
Reaching - Rarely
Reading - Consistently
Sitting - Frequently
Standing - Occasionally
Stooping - Rarely
Talking - Frequently
Thinking/Reasoning - Frequently
Use of Hands - Consistently
Color Vision - Consistently
Visual Acuity: Far - Occasionally
Visual Acuity: Near - Frequently
Walking - Occasionally
TriHealth SERVE Standards and ALWAYS Behaviors
At TriHealth, we believe there is no responsibility more important than to SERVE our patients, our communities, and our fellow team members. To achieve our vision and mission, ALL TriHealth team members are expected to demonstrate and live the following:
Serve: ALWAYS...
• Welcome everyone by making eye contact, greeting with a smile, and saying "hello"
• Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist
• Refrain from using cell phones for personal reasons in public spaces or patient care areas
Excel: ALWAYS...
• Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met
• Offer patients and guests priority when waiting (lines, elevators)
• Work on improving quality, safety, and service
Respect: ALWAYS...
• Respect cultural and spiritual differences and honor individual preferences.
• Respect everyone's opinion and contribution, regardless of title/role.
• Speak positively about my team members and other departments in front of patients and guests.
Value: ALWAYS...
• Value the time of others by striving to be on time, prepared and actively participating.
• Pick up trash, ensuring the physical environment is clean and safe.
• Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste.
Engage: ALWAYS...
• Acknowledge wins and frequently thank team members and others for contributions.
• Show courtesy and compassion with customers, team members and the community