Clinical Charge Audit Analyst

Role: The Clinical Charge Audit Analyst is responsible for clinical documentation improvement, auditing, coding, and charge entry for cardiovascular procedures in Cath and EP Labs.

Key Responsibilities:

• Review clinical documentation, reports, and supplies to ensure accurate coding, billing, and compliance with regulatory standards.
• Conduct medical record reviews and provide coding and compliance training to physicians and staff.
• Collaborate with departments to develop charge codes for new procedures and ensure proper supply coding and inventory management.
• Work with Epic, Lawson, and other systems to support data collection, billing accuracy, and regulatory reporting.
• Assist in training staff on coding, documentation, and new procedures; participate in audits and revenue reconciliation.
• Research new procedures, gather reimbursement data, and serve as liaison for coding and clinical updates.

Qualifications & Skills:

• High School Diploma or GED; relevant certifications required upon hire.
• Minimum 3 years of acute care coding, billing, or charge capture experience.
• At least 5 years of clinical experience in Interventional Cardiovascular, EP, IR, or Surgical procedures.
• Proficiency in Excel, Word, and basic computer operations.
• Strong communication skills to collaborate with healthcare team members.

Core Functions: Performing charge reconciliation, ensuring accurate documentation, supporting procedural coding, and maintaining clinical expertise to optimize revenue and compliance in cardiovascular services.