Charge Capture Rules Analyst

📋 Description

• Overseeing the specialized and proprietary Big Data charge capture capabilities of the Charge Integrity SaaS solution.

• Collaborating effectively with internal teams to ensure the Charge Integrity SaaS Solution delivers outstanding value to each client.

• Conducting updates and ongoing maintenance on data elements that apply mathematical techniques to identify missed charges and coding discrepancies.

• Using SQL to update and sustain evidence-based charge integrity regulations.

• Proposing and aiding in the implementation of solutions for complex challenges.

• Actively engaging in relevant meetings, discussions, and other activities related to the performance of the Charge Integrity SaaS Solution.

• Efficiently executing project work plans while retaining the flexibility to adjust plans as needed based on changing requirements.

• Staying engaged within the healthcare industry concerning charging practices to maintain continuous awareness of best practices, emerging trends, and industry standards.

⛳️ Requirements

• Bachelor’s degree or higher.

• Proficient in analyzing large datasets, recognizing patterns, and summarizing findings by priority.

• Exhibits effective verbal and non-verbal communication abilities, demonstrates sound judgment, and a commitment to teamwork.

• Highly self-motivated with a strong desire to succeed and a keen attention to detail.

• Familiarity with charge capture terminology and best practices.

• Capable of working independently as well as collaboratively within a team.

• Able to manage multiple tasks and establish priorities.

• Exceptional written and verbal communication skills, along with strong presentation capabilities.

• Proficient in MS Office, particularly MS Excel and MS PowerPoint, including advanced data manipulation skills in Excel spreadsheets.

• Understanding of SQL and database frameworks.

• Experience in revenue integrity, revenue cycle management, or healthcare coding.

🏝️ Benefits

• Competitive total rewards package (base salary + bonus, if applicable).

• Customizable benefits package including three medical plans with a company match on Health Savings Accounts.

• Generous paid time off for non-exempt team members, starting with three weeks plus 13 paid holidays, including two personal floating holidays.

• Flexible time off for exempt team members, along with 13 paid holidays.

• Paid parental leave, encompassing both maternity and paternity leave.

• Opportunities for education assistance and complimentary access to LinkedIn Learning.

• Free mental health and family planning programs, including support for adoption and fertility.

• 401(K) plan with company matching.

• Pet insurance.

• Employee resource groups.