Analyst Charge Revenue Integrity

Trinity Health

2d•$22 - $33

About The Position

Loyola Medicine, a member of Trinity Health, is a nationally ranked academic, quaternary care system based in Chicago's western suburbs. With its main campus at Loyola University Medical Center, Loyola Medicine is part of a comprehensive three-hospital system including Loyola University Medical Center, Gottlieb Memorial Hospital, and MacNeal Hospital. If you’re passionate about delivering exceptional care and making a difference in the lives of our communities, join the Loyola team and become Loyola Strong!

Requirements

Minimum of one (1) to two (2) years of relevant work experience in a hospital and/or Physician Practice environment and experience in revenue cycle, billing, coding and/or patient financial services.
Experience working with current medical terminology, data entry, supply chain processes, hospital and/or Medical Group practice operations; hospital and/or Physician group practice revenue cycle front-end functions such as patient registration that may impact charge related errors; and billing and regulatory guidelines related to charging and other revenue cycle processes and ability to assist clinical departments and/or physician practices with changes to their charging practices based on guidelines

Nice To Haves

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

Responsibilities

Perform charge capture functions, including review of clinical documentation and assignment of appropriate modifiers.
Ensure accurate and timely charge capture for Emergency Departments within the Service Area.
Position operates in a productivity-based environment with an expectation of reviewing and processing 105 Emergency Department charts per day.
Provide feedback and education to Revenue Integrity colleagues regarding identified opportunities and process improvements.
Review and respond to quality assurance reports related to missing charges, duplicate charges, missing modifiers, and other charge capture issues.
Maintain and update required reference logs, tracking tools, and reporting resources.
Compile data to support operational and strategic decision-making.
Support ongoing efforts to improve charge accuracy, compliance, and revenue integrity processes.