Analyst Charge Revenue Integrity (Charge Capture Auditor) (Remote)

Trinity Health

8d•$22 - $32•Remote

About The Position

This remote, full-time day-shift role supports Trinity Health leadership by capturing, analyzing, and reporting data to improve operational efficiency. The analyst audits departmental information, produces reports, recommends process improvements, and provides expertise in relevant programs, services, and applications. The position researches and analyzes information, identifies improvement opportunities, collaborates on performance improvement, and distributes analytical reports. It uses multiple system applications to conduct analyses, create reports, and develop educational materials while following applicable organizational processes and prioritizing quality, confidentiality, and safety. The analyst compiles information for operational projects; prepares detailed summaries and graphical presentations showing trends; recommends practical options; and uses operational data and measures to demonstrate progress, return on investment, and impact. In its charge revenue integrity function, the role helps ensure accurate CPT and/or ICD-10 documentation for patient billing and educates colleagues and providers on documenting services and using appropriate codes. It maintains charge-capture documentation, reviews process adherence, identifies missing charges, coordinates with stakeholders on system changes and upgrades, and oversees charge reconciliation for assigned departments. The work may include guidance on daily clinical-department reconciliations, validating supply and implant charges, identifying duplicate charges, and addressing documentation or charge errors. The analyst may perform charge entry and capture, approve charges, and conduct quality reviews, including modifier and clinical-documentation checks. The role reviews quality reports for missing, duplicate, or late charges; maintains reference logs and reporting tools; may prepare information for decision-making; and supports denial-related charge reviews through documentation analysis, root-cause analysis, and education for responsible ancillary departments. The position requires a high school diploma or GED and one to two years of relevant experience in a hospital and/or physician-practice environment, with experience in revenue cycle, billing, coding, and/or patient financial services. Charge control or capture experience is strongly preferred. Preferred qualifications include relevant coding credentials, nursing licensure, healthcare compliance certification, and CHRI certification or membership.

Requirements

High school diploma or GED.
One to two years of relevant work experience in a hospital and/or physician-practice environment.
Experience in revenue cycle, billing, coding, and/or patient financial services.
Experience with medical terminology, data entry, supply-chain processes, and hospital and/or medical-group practice operations.
Knowledge of revenue-cycle front-end functions, such as patient registration, and how they may affect charge-related errors.
Knowledge of billing and regulatory guidelines related to charging and other revenue-cycle processes.
Ability to assist clinical departments and/or physician practices with changes to charging practices based on applicable guidelines.
Working knowledge of applicable federal, state, and local laws and regulations, and organizational compliance policies and procedures.

Nice To Haves

Charge control or charge-capture work experience is strongly preferred.
RHIA, RHIT, CCS, CPC/COC, AAPC, or other coding credentials preferred.
Licensed Vocational Nurse or Licensed Practical Nurse licensure preferred.
CHC (Healthcare Compliance Certification) preferred.
CHRI certification or membership strongly preferred.

Responsibilities

Research, collect, compile, and analyze information for operational projects and initiatives.
Identify opportunities, develop solutions, and lead issues through resolution.
Collaborate on performance improvement activities and distribute analytical reports.
Use system applications to analyze data, create reports, and develop educational materials.
Prepare detailed summaries and graphical presentations that illustrate trends and recommend practical options or solutions.
Use program and operational data to define and demonstrate progress, return on investment, and impacts.
Maintain knowledge of applicable laws, regulations, organizational policies, and compliance requirements.
Support accurate CPT and/or ICD-10 documentation for patient billing and educate colleagues and providers on accurate documentation and coding.
Maintain charge-capture process documentation and regularly review adherence to processes and identify missing charges.
Coordinate with stakeholders on system change requests and upgrades that may affect charge-capture accuracy.
Oversee charge reconciliation for assigned departments and ensure daily and appropriate monthly reconciliations occur.
Provide guidance on clinical department reconciliation processes, including validating supply or implant charges and identifying duplicate charges and documentation or charge deficiencies.
Perform charge entry or capture, charge approvals, and quality charge reviews, including modifier and clinical-documentation checks.
Provide feedback to Revenue Integrity colleagues on areas for improvement.
Review and respond to quality reports involving missing, duplicate, or late charges, and maintain reference logs and reporting tools.
Support denial-related charge reviews through clinical-documentation analysis, root-cause analysis, and education for responsible ancillary departments.