Charge Integrity Analyst

Responsibilities:

The Charge Integrity Analyst is responsible for the management of various operational charge capture functions. The analyst will serve as the primary liaison between the revenue cycle and clinical leaders. Responsibilities of the position will include assisting clinical leadership and staff with charge reconciliation, charge reporting, and troubleshooting. This position is responsible for educating revenue center departments on best practices to review and reconcile their daily charge capture processes. This includes documentation, reporting, training, and implementation of charge practices. In addition, this position will develop, produce, validate, and distribute standard charge related reports and other report as needed. This individual will work closely with a vast array of clinical, financial, and IT leadership to ensure that charging, charge reporting, and reconciliation processes function smoothly.

Qualifications:

Bachelor’ Degree in Accounting, Finance, Business Administration or a related field. Three (3) years of experience within revenue cycle required. Experience above minimum requirement may be considered in lieu of education. Charge Integrity/Chargemaster certification preferred. Knowledge of revenue cycle processes and hospital/medical billing to include CDM, UB, RAs and 1500 required. Knowledge of code data sets to include CPT, HCPCS, and ICD-10 required. Must have an understanding of reimbursement theories to include DRG, OPPS, and managed care. Must have knowledge of health care compliance and understands charge master set up and maintenance requirements including EPIC build. EPIC certification required or obtained within six (6) months of hire. CPC, CCS, CHRI, CRCR, and/or existing EPIC certification in appropriate module is preferred. Must be articulate in communicating processes and documentation requirements for accurate and compliant charge capture. Working knowledge of government and commercial payer requirements for accurate and compliant charging and billing of hospital inpatient, outpatient, surgical and ancillary services a plus. Understanding of hospital revenue cycle operations (registration, charge capture, health information management, claims, payment posting). Experience with Microsoft Office (Outlook, Word, Excel, Power point, Access) required. Knowledge of medical terminology preferred.

Permanent