Analyst, Charge Revenue Integrity – Charge Capture

This is a fully remote position, open to applicants in Connecticut.

📋 Description

• Conduct research, gather, and analyze data to enhance operational efficiency.

• Review departmental information to pinpoint opportunities for process enhancement.

• Formulate solutions and guide issues to resolution.

• Collaborate on initiatives aimed at improving performance related to program efficiency and patient experience.

• Distribute analytical reports to relevant stakeholders.

• Employ various system applications to conduct analyses, generate reports, and create educational materials.

• Investigate and compile information for ad-hoc operational projects and initiatives.

• Synthesize and analyze data, delivering detailed summaries and graphical presentations of trends, and proposing practical solutions.

• Utilize program and operational data to define and illustrate progress, return on investment (ROI), and impacts.

• Ensure precise CPT and/or ICD-10 documentation for patient billing, while educating colleagues and providers on accurate documentation and coding practices.

• Maintain documentation of the charge capture process and review adherence to identify any missing charges.

• Collaborate with stakeholders on system change requests and process enhancements to ensure the accuracy of charge capture.

• Supervise charge reconciliation processes for assigned departments, including daily and monthly reconciliations.

• Provide guidance to clinical departments regarding daily reconciliation, supply charges, duplicate charges, and documentation or charge discrepancies.

• Carry out charge entry/capture, charge approvals, and quality reviews, including the addition of modifiers and verification of clinical documentation.

• Offer insights to Revenue Integrity colleagues on areas for improvement.

• Examine and address quality reports that highlight missing, duplicate, and late charges.

• Maintain and update reference logs and reporting tools.

• Create and present information to aid in decision-making processes.

• Support charge reviews related to denials through clinical documentation analysis, root cause analysis, and education.

⛳️ Requirements

• High school diploma or GED is required.

• A minimum of one (1) to two (2) years of relevant experience in a hospital and/or Physician Practice setting is necessary.

• Experience in revenue cycle management, billing, coding, and/or patient financial services is essential.

• Familiarity with current medical terminology, data entry, supply chain processes, and hospital and/or Medical Group practice operations is required.

• Understanding of revenue cycle front-end functions, such as patient registration, that may influence charge-related errors is advantageous.

• Knowledge of billing and regulatory guidelines related to charging and other revenue cycle processes is important.

• Capability to assist clinical departments and/or physician practices with adjustments to charging practices in accordance with guidelines.

• Preferred qualifications include RHIA, RHIT, CCS, CPC/COC, AAPC or other coding credentials and/or Licensed Vocational Nurse/Licensed Practical Nurse licensure.

• CHC certification is preferred.

• CHRI certification/membership is strongly preferred.

• Proficiency in using multiple system applications, computers, and other technologies is required.

• Ability to uphold confidentiality, safety, and compliance with applicable laws, regulations, policies, and procedures is essential.

🏝️ Benefits

• Competitive salary and comprehensive benefits package.

• Opportunities for professional development and career advancement.

• Supportive work environment with a focus on employee well-being.

• Access to resources for continuous learning and skill enhancement.