- Perform comprehensive charge audits for inpatient and outpatient services.
- Review itemized billing statements against medical records to verify accuracy and completeness.
- Identify and document missing, duplicate, or non-compliant charges.
- Validate charges based on clinical documentation, coding rules, and billing guidelines.
- Submit clear, actionable audit findings to revenue cycle teams for correction and rebilling.
- Analyze audit findings to determine root causes and patterns.
- Maintain accurate audit documentation that is clear, traceable, and defensible.
- Partner with coding, billing, clinical departments, and revenue cycle leadership to provide guidance on documentation and compliance.
EHR