Job Title: Charge Analysis Associate
What You’ll Do
- Perform daily charge audits, reviewing clinical documentation for accurate CPT, ICD-10, and HCPCS code assignment.
- Verify charges align with payer-specific billing rules and medical necessity requirements before submission.
- Identify and correct coding discrepancies proactively, before claims go out.
- Submit clean claims daily through Apero and the clearinghouse.
- Monitor claim system and clearinghouse rejection queues; research and resolve rejections promptly to avoid timely-filing exposure.
- Correct and resubmit rejected claims, tracking each through to acceptance.
- Stay current on coding updates, payer policy changes, and industry regulations.
- Collaborate with Medical Billing Associates and the Medical Billing Team Lead on recurring coding or rejection patterns.
What You Bring
- Minimum 3 years of experience in medical billing and coding within a healthcare setting.
- Strong understanding of coding standards (ICD-10, CPT, HCPCS), claim submission workflows, and clearinghouse rejection handling.
- Exceptional attention to detail and accuracy in code assignment.
- Experience with Apero or similar clearinghouse/practice management software preferred.
- Experience in Sleep Medicine and/or DME billing strongly preferred.
- Professional coding certification (CPC, CCS, RHIT, or RHIA) a plus but not required.
- Genuine interest in sleep, health, and helping people better understand and improve their well-being.
Who You Are
- Core values emphasize clarity, trust, collaboration, optimism, and compassion.
Tech Stack
Apero and the clearinghouse systems for charge submission and rejection management.
Team Description
Collaborate with Medical Billing Associates and the Medical Billing Team Lead on recurring coding or rejection patterns.
