Senior Charge Review Specialist

Central Health

. Process accurate code assignments and required billing data elements for paper and electronic claims before payment processing and revenue reporting .

Posted 11/5/2026full-timeRemote • Texas • United StatesSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in medical coding and billing processes, including ICD-10, CPT, and HCPCS coding, while ensuring compliance with regulations and maintaining HIPAA confidentiality. Proficient in analyzing claims, providing guidance, and implementing charge-review policies to enhance revenue cycle efficiency.

Highest-signal resume keywords

ICD-10 CodingCPT CodingHCPCS CodingCertified Coding Specialist (CCS)Medical Billing Cycle Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical CodingBilling ProceduresInsurance Claims FilingData Entry SkillsAnalytical SkillsProblem-Solving SkillsBasic Accounting SkillsRegulatory ComplianceHealthcare TerminologyRevenue Cycle Management

Soft Skills

Organizational SkillsDeadline ManagementCommunication SkillsProfessionalismStrong Work Ethic

Tools & Technologies

Electronic Claim Filing SoftwarePractice Management SoftwareEPIC PM/EMRWindows ApplicationsMicrosoft WordMicrosoft ExcelMicrosoft PowerPointMicrosoft Outlook

Certifications & Qualifications

Certified Coding Specialist (CCS)Certified Professional Coder (CPC)Certified Coding Specialist–Physician (CCS-P)Certified Professional Coder–Hospital (CPC-H)

Industry Keywords

Healthcare Revenue CycleBilling ComplianceReimbursement ProceduresHIPAA ConfidentialityCoding Accuracy

About the role

Key responsibilities & impact

Process accurate code assignments and required billing data elements for paper and electronic claims before payment processing and revenue reporting
Review coding edits, provider charting, documentation, and submitted coding for accuracy and compliance
Determine the correct sequencing of ICD-10, CPT, and HCPCS codes under the Revenue Integrity Manager's direction
Answer coding questions from providers and staff and provide regulatory and coding-initiative guidance
Analyze provider coding, provide guidance, and audit Charge Review Specialist claims for quality assurance
Ensure timely and accurate claim processing according to company procedures and industry best practices
Maintain HIPAA confidentiality and comply with applicable regulations, standards, and company policies
Meet daily productivity goals
Participate in Revenue Cycle Team activities, assist coworkers, and pursue continuous improvement and cost efficiencies
Develop, implement, and improve charge-review policies and procedures
Initiate and respond to telephone inquiries from providers, clients, and patients
Document communications and activities in billing notes
Participate in organizational initiatives and perform other duties supporting the organization's vision, mission, and values

Requirements

What you’ll need

High school diploma or GED
4 years of relevant healthcare revenue or medical billing cycle experience, including coding
Required certification maintained as one of: Certified Coding Specialist (CCS) through AHIMA; Certified Coding Specialist–Physician (CCS-P) through AHIMA; Certified Professional Coder (CPC) through AAPC; Certified Professional Coder–Hospital (CPC-H) through AAPC
Thorough knowledge of billing and coding policies and procedures
Knowledge of ICD-10, CPT, HCPCS, and modifiers
Proficiency in filing and collecting insurance claims
Previous experience with electronic claim filing and practice management software
Computer literacy in Windows applications, Word, Excel, PowerPoint, and Outlook
Typing and 10-key proficiency; computer and data-entry skills
Knowledge of healthcare billing, reimbursement procedures, regulations, medical terminology, anatomy, and insurance processes
Basic accounting skills and ability to audit patient accounts accurately
Analytical, problem-solving, organizational, prioritization, and deadline-management skills
Experience with EPIC PM/EMR preferred but not required
Excellent verbal and written communication skills
Ability to work independently and proactively engage supervisors and coworkers
Strong work ethic and professionalism