Los Angeles, CA, 90006, USA
1 day ago
Chart Auditor
Description We are currently seeking a meticulous Chart Auditor responsible primarily for verifying, rectifying, and finalizing edits in the Patient Accounting System or claims editing system. The Chart Auditor will occasionally conduct insurance audits in conjunction with chosen payer auditors as per contract stipulations. This role will also involve communication within the hospital concerning charge disputes, charge capture, and pending documentation. Key Responsibilities: • Collaborate with various hospital departments and insurance/payers on audits, disputed charges, and hospital billing issues. • Engage with department directors concerning outstanding documentation or charging problems. • Conduct accurate and timely charge audits or billing edits as needed. • Assist in the onboarding and training of new recruits or contract/contract team members. • Communicate with insurance firms or auditing services to address any grievances or conduct defense audits. • Update the department charge master and respond to department requests timely and accurately. • Address any billing, charging, or documentation difficulties with relevant hospital departments. • Identify and resolve any long-standing charging issues. • Organize and carry out extensive defense audits of patient medical records with insurance company representatives. • Correct charges and coordinate re-bills based on agreed audit results. • Validate and handle bill holds related to charge reviews, coordinating approvals and bill release process. • Carry out concurrent or focus audits to validate charge capture audits on randomly selected accounts monthly. • Work consistently on DNFB and PFS claim edits worklists to ensure timely completion. • Provide support to the Director of Revenue Analysis and Director of A/R Management. • Perform any other duties and responsibilities as directed. Requirements Medical Insurance, Medical Claims, Medical Billing, Medical Collections Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles. Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more. Robert Half will consider for employment qualified applicants with arrest or conviction records in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information. © 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (https://www.roberthalf.com/us/en/terms) .
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