Charge Resolution Specialist
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Job Description
Charge Resolution Specialist resolving Epic charge-review errors for Intermountain Health’s nonprofit healthcare system. Improving compliant charge capture, routing, and revenue-cycle accuracy.
Responsibilities:
- Review and resolve Epic charge review workqueue errors and warnings before claim submission
- Support additional Epic workqueue assignments to maintain operational efficiency and throughput
- Research and correct missing charges, incorrect modifiers, and charge-routing issues
- Apply CPT/HCPCS coding principles and payer billing rules under approved guidance
- Partner with clinic Charge Champions, specialty service lines, and revenue cycle stakeholders
- Resolve complex or high-impact charge issues and serve as an escalation point
- Identify trends, recurring defects, and workflow gaps and escalate systemic findings
- Recommend workflow improvements to reduce defects and improve charge capture accuracy
- Support knowledge sharing and mentoring within the Charge Resolution Specialists team
Requirements:
- Demonstrated experience in medical billing, coding, or revenue cycle operations
- Experience working within electronic medical record systems, preferably Epic workqueues
- Working knowledge of CPT/HCPCS coding principles and payer billing requirements under established guidance
- Strong analytical, problem-solving, and communication skills
- Ability to manage workload, prioritize tasks, and resolve issues independently
- Experience working with pre-bill encounters considered by the hiring manager
- Experience reviewing and analyzing claims errors and system discrepancies, determining root causes, and developing corrective actions
- Familiarity with professional revenue cycle processes, including charge routing and modifier application is preferred
- Experience supporting Epic charge review or charge capture workflows is preferred
- Experience identifying trends and contributing to workflow or process improvement initiatives is preferred
- Ability to meet stated physical requirements, including frequent computer use, verbal communication, hearing, reading, and manual dexterity
Benefits:
- Generous benefits package covering wellness, health, security, connection, and engagement programs
- Flexible work options where approved and stated in the job posting
- PEAK program with up-front tuition coverage paid directly to the academic institution
- 100+ learning options, including undergraduate studies, high school diplomas, and professional skills and certificates
- PEAK eligibility beginning on day 1 of employment
- Company equipment and remote-work support subject to Intermountain policies and expectations
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