Analyst Charge Revenue Integrity

Trinity Health

1d•$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. The Analyst Charge Revenue Integrity role supports accurate, timely charge capture for Emergency Departments within the Service Area. The position reviews clinical documentation, assigns appropriate modifiers, processes a target of 105 Emergency Department charts per day in a productivity-based environment, and helps improve charge accuracy, compliance, and revenue integrity processes. The role also provides feedback and education to Revenue Integrity colleagues, responds to quality assurance findings, maintains tracking and reference materials, and compiles data for operational and strategic decisions. The position requires willingness to work a rotating weekend schedule every sixth weekend.

Requirements

High school diploma or GED.
At least 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 current medical terminology, data entry, supply chain processes, hospital and/or Medical Group practice operations, revenue cycle front-end functions such as patient registration, and billing and regulatory guidelines related to charging and other revenue cycle processes.
Ability to assist clinical departments and/or physician practices with changes to their charging practices based on guidelines.
Willingness to work a rotating weekend schedule every sixth weekend.

Nice To Haves

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

Responsibilities

Perform charge capture functions, including reviewing clinical documentation and assigning appropriate modifiers.
Ensure accurate and timely charge capture for Emergency Departments within the Service Area.
Review and process 105 Emergency Department charts per day in a productivity-based environment.
Provide feedback and education to Revenue Integrity colleagues about identified opportunities and process improvements.
Review and respond to quality assurance reports involving missing charges, duplicate charges, missing modifiers, and other charge capture issues.
Maintain and update 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.