I have extensive experience in charge auditing, having worked in various healthcare settings. I ensure accuracy by meticulously reviewing patient records, verifying codes, and cross-referencing with billing systems. I also conduct regular audits to identify and correct any discrepancies, ensuring that all charges are appropriately documented and billed. My approach involves a systematic review process, which includes double-checking calculations and consulting with clinical staff to confirm the accuracy of the charges.

When I discover discrepancies or errors in billing, I immediately flag them for further investigation. I work closely with the billing department and clinical staff to understand the root cause of the error. If the error is due to a coding issue, I provide training to prevent future occurrences. If it's a procedural error, I recommend changes to the workflow to improve accuracy. My goal is to resolve issues promptly and ensure that all billing is accurate and compliant with regulations.

To maintain compliance, I stay updated on the latest healthcare regulations and billing standards by attending relevant training sessions and webinars. I also implement internal auditing processes that align with regulatory requirements. This includes regular reviews of billing practices, ensuring that all codes are correctly applied, and that documentation supports the billed services. Additionally, I collaborate with compliance officers to address any potential issues and ensure that our practices are always up-to-date and compliant.

In a fast-paced environment, I prioritize tasks based on urgency and impact. I start by addressing any critical issues that could lead to significant financial or compliance risks. I then allocate time to routine audits and follow-up on any ongoing investigations. I use a combination of tools, such as task management software and calendars, to keep track of deadlines and ensure that all tasks are completed on time. Effective communication with my team also helps in managing workload and ensuring that everyone is aligned with the priorities.

One complex audit I conducted involved reviewing a high volume of surgical procedures with multiple billing codes. I discovered inconsistencies in the documentation supporting the billed services. To resolve this, I worked closely with the surgical team to review each case, ensuring that all procedures were accurately documented and coded. I also provided training to the staff on proper documentation practices. As a result, we were able to correct the errors and improve our billing accuracy, reducing the risk of future discrepancies.