Charge Review and Entry Specialist

This is a full remote job, available from anywhere.

The Charge Review / Charge Entry Specialist is responsible for accurately reviewing and entering patient charges into the billing system to support timely, compliant claim submission and optimal reimbursement.

This role validates charge documentation, applies correct codes and charge rules per client and payer requirements, and resolves discrepancies by coordinating with clinical and billing teams.

Responsibilities:

• Review all supporting documentation to confirm all billable services are captured.
• Enter charges into the practice management (PM) and/or electronic health record (EHR) system accurately and within required turnaround times.
• Validate required billing elements (date of service, rendering/provider, location, diagnosis pointers, units, modifiers, NDC/lot where applicable) prior to claim submission.
• Identify, research, and correct charge discrepancies such as missing charges, duplicate charges, incorrect units, invalid modifiers, or mismatched diagnosis-to-procedure linkage.
• Apply client-specific charge rules, fee schedules, and payer billing guidelines; escalate unusual scenarios or compliance concerns appropriately.
• Work charge edits, hold queues, and worklists; document actions taken and maintain clear audit trails in the system.
• Communicate with providers, staff, and internal teams to obtain missing information and resolve documentation issues.
• Support claim quality by reducing downstream rework, denials, and payment delays through proactive charge accuracy checks.
• Maintain productivity and quality standards.
• Participate in ongoing training and education to stay current with changing regulations and billing guidelines.

• Strong analytical and problem-solving skills.
• Excellent communication and interpersonal skills.
• Ability to work accurately and efficiently in a fast-paced environment.
• Knowledge of medical billing and coding principles.
• Experience with practice management and/or electronic health record systems.
• Ability to maintain confidentiality and handle sensitive information.
• High school diploma or equivalent required; associate's or bachelor's degree in a related field preferred.