Charge Capture Analyst

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

📋 Description

• Revenue Cycle Consultants offer specialized knowledge and assistance to various healthcare organizations, identifying and cultivating opportunities for enhancement in all facets of revenue cycle operations while confidently leading discussions with clients.

• Evaluate, document, and sustain both current and future-state charge capture workflows across relevant departments.

• Oversee the development of order sets and preference cards within the Epic framework to ensure precise and compliant charge capture.

• Create and provide training and educational sessions for hospital personnel regarding changes in charge capture, workflow updates, and Epic functionality.

• Work in collaboration with Revenue Integrity and coding teams to design, execute, and refine processes related to modifications made to the Charge Description Master (CDM).

• Guarantee that all charge capture processes are in compliance with relevant hospital, regulatory, and payer requirements.

• Act as a consultant for hospitals seeking insights and guidance on complex regulatory matters related to Medicare’s OPPS, IPPS, MPFS, RHC, and CAH reimbursement methodologies.

⛳️ Requirements

• Epic experience — A minimum of 3–5 years of experience with Epic, focusing on charge capture, revenue cycle, and associated modules; familiarity with order sets and/or preference cards in revenue-generating departments.

• Charge Description Master — Proficient understanding of CDM structure, maintenance, and charge capture auditing procedures.

• Billing and coding expertise — Comprehensive knowledge of hospital billing, CPT/ICD‑10 coding, HCPCS/CPT® usage, revenue codes, CCI/MUE edits, Type of Bill application, and general patient accounting processes.

• Revenue cycle knowledge — Awareness of revenue integrity principles, compliance mandates, and the ability to investigate complex regulations and form accurate, well-supported conclusions.

• Reimbursement methodology — Strong grasp of Medicare and Medicaid reimbursement for outpatient and inpatient hospital services, ASC, RHC, and professional fee billing.

• Healthcare operations — Extensive knowledge of business office operations for hospitals (acute, LTAC, critical access), physician clinics (RHCs, FQHCs, provider-based, freestanding), and/or skilled nursing facilities; general understanding of hospital workflows.

• Communication and writing — Exceptional written and verbal communication abilities, including the capability to train diverse audiences and produce clear, concise, authoritative written opinions.

• Leadership and project management — Capacity to handle multiple projects simultaneously, work independently, and perform effectively in a PRN, on-site environment; strong organizational and time-management abilities.

• Medical terminology — Familiarity with medical terminology, pronunciation, and coding for common procedures.

• Technical proficiency — Intermediate to advanced knowledge of Microsoft Excel, Word, and PowerPoint.

🏝️ Benefits

• We cultivate long-term careers by investing in YOU.

• An Epic Charge Capture Analyst configures and oversees the charging and billing modules within the Epic electronic health record (EHR) system.

• They act as a liaison between clinical care and hospital finance, ensuring that medical services are accurately documented, coded, and billed to optimize revenue and maintain compliance.

• Cross-functional Collaboration – Collaborate with clinical, billing, coding, and IT teams to identify charge capture deficiencies and implement corrective workflows.

• Compliance Support – Ensure that all charge capture processes adhere to applicable hospital, regulatory, and payer requirements.

• Serve as an advisor to hospitals seeking insights and guidance on complex regulatory matters related to Medicare’s OPPS, IPPS, MPFS, RHC, and CAH reimbursement methodologies.