Revenue Integrity Clinical Charge Auditor - Full-Time, Days in Arlington, Texas at Texas Health Resources

Revenue Integrity Clinical Charge Auditor - Full-Time, Days

Bring your passion to Texas Health so we are Better + Together

• Work location: Texas Health Corporate, 612 E. Lamar Blvd., Arlington, TX 76011
• Work hours: Full-time, 40 hours, Remote
• Travel: up to 20% local in-person meetings at assigned office location or at THR facility ( mileage reimbursement provided, per THR policy )

Department Highlights:

• Revenue Integrity supports 29 hospitals and approximately 1,300 providers
• Collaborative and interactive remote team

Here's What You Need:

• Associate's Degree with 7 years' relevant experience in lieu of Bachelor's Degree (required) Or
• Bachelor's Degree with 5 years' relevant experience (required)
• 5 years Revenue Integrity, Charge Capture, Auditing, Coding, Compliance, or Revenue Cycle experience with knowledge of Procedural-Based Service Lines (required)
• 1 Year Epic EMR (preferred)
• RN - Registered Nurse Upon Hire (required) Or
• ARRT - American Registry of Radiologic Technologists Upon Hire (required) Or
• CPC - Certified Professional Coder Upon Hire (required) Or
• RHIT - Registered Health Information Technician Upon Hire (required) Or
• RHIA - Registered Health Information Administrator Upon Hire (required)
• Local Candidates (highly preferred).

• Ability to interpret clinical documentation and determine appropriate charges for a patient account.
• Requires knowledge of documentation requirements and charge capture workflows, as well as working knowledge of laws and regulations pertaining to healthcare charge capture, billing, CDM/coding compliance, and revenue cycle functions.
• Demonstrate intrapersonal skills, a positive demeanor, professional skills/approach, good verbal and written communication skills, as well as initiative and self-motivation.
• Must be detail oriented and have analytical and critical thinking skills to resolve charge and revenue related issues.
• Possess ability to work independently, proactively with limited supervision and as a team player when called upon.
• Also requires ability to manage, organize, prioritize, multi-task, and adapt to changing priorities.
• MS Office including Word, PowerPoint, Excel, and Outlook.

What You Will Do:

Charge Capture and Reconciliation

• Accurately post charges for assigned clinical service lines based on review of clinical documentation, physician orders, results, and other charge source inputs.
• Perform charge reconciliation activities to identify and correct missing, duplicate, or inaccurate charges.
• Review and resolve assigned system work queues and edits to support timely claim generation and billing readiness.
• Apply established charging guidelines, system workflows, and organizational standards during all charge capture activities.
• Ensure completeness and timeliness of charge posting in accordance with defined service level expectations.
• Execute charge capture activities in compliance with internal guidelines and policies, as well as applicable federal and state regulations, and payer requirements.

Charge Audit

• Conduct complex, high-risk, and targeted audits in payer-sensitive or error-prone service lines.
• Assess clinical documentation against charging guidelines, payer requirements, and regulatory standards
• Interpret and apply federal, state, and payer regulations in audit determinations.
• Identify compliance risks, documentation opportunities, and inaccurate charging practices.
• Maintain comprehensive audit documentation and reporting to support findings and remediation tracking.
• Support corrective action plans to address identified risks and prevent recurrence.

Analysis & Education

• Analyze audit findings to determine root causes related to charge capture errors, documentation practices, clinical workflows, or system configuration.
• Provide targeted education and feedback to nursing staff, providers, as well as clinical and operational leaders related to documentation and charging requirements.
• Partner with clinical departments and Revenue Cycle Operations to reinforce documentation and charge capture best practices.
• Contribute to development of tip sheets, policies, audit guidance, and clinical charging education materials.
• Support denials prevention by reporting and escalating trends for further review and analysis.
• Support revenue leakage identification by reporting and escalating trends for further review and analysis.

Additional perks of being a Texas Health employee:

• Benefits include 401k, PTO, medical, dental, Paid Parental Leave, flex spending, tuition reimbursement, Student Loan Repayment Program as well as several other benefits.
• Delivery of high quality of patient care through nursing education, nursing research and innovations in nursing practice.
• Strong Unit Based Council (UBC).
• A supportive, team environment with outstanding opportunities for growth.

Learn more about our culture, benefits, and recent awards.

Entity Highlights:

Texas Health Resources is one of the largest faith-based, nonprofit health care delivery systems in the United States and the largest in North Texas in terms of patients served.
Texas Health has 25 acute-care and short-stay hospitals that are owned, operated, joint-ventured or affiliated with the system. It has more than 3,800 licensed beds, more than 21,100 employees of fully owned/operated facilities plus 1,400 employees of consolidated joint ventures and counts more than 5,500 physicians with active staff privileges at its hospitals.

We invite you to join us in furthering your career through our accomplishments and philosophy of excellence.

Do you still have questions or concerns? Feel free to email your questions to recruitment@texashealth.org .

#LI-LB

Primary Location: Arlington
Job: Accounting/Finance
Organization: Texas Health Resources 612 E. Lamar TX 76011
Shift: Day Job
Employee Status: Regular
Job Type: Standard
Schedule: Full-time