Change Analyst Revenue Integrity (Remote)

Trinity Health•Livonia, MI

1d•Remote

About The Position

The Revenue Integrity Charge Analyst is responsible for capturing, analyzing, and reporting data to help Trinity Health leadership achieve operational efficiency. The role audits departmental information, produces reports, suggests process improvements, and provides expertise in relevant programs, services, and applications. This is a remote position with a stated pay range of $21.5178–$32.2766. The analyst researches and analyzes information, identifies opportunities, develops solutions, and collaborates on performance improvement activities. The role uses multiple system applications to perform analysis, create reports, and develop educational materials, while following applicable policies and processes to prioritize quality, confidentiality, and safety. The analyst compiles data for operational projects, presents findings and trends, recommends practical options, and supports leadership decision-making. In the functional role, the analyst supports accurate CPT and/or ICD-10 documentation and billing, educates colleagues and providers on documenting services and selecting appropriate codes, and maintains charge-capture process documentation. The analyst reviews adherence to processes, identifies missing or incorrect charges, coordinates with stakeholders on system changes, and oversees charge reconciliation for assigned departments. Duties may include guiding daily reconciliation, reviewing supply and implant charges, identifying duplicate charges, performing charge entry and quality reviews, responding to quality reports, maintaining reference logs, and assisting with denial-related charge reviews, root-cause analysis, and education.

Requirements

High school diploma or GED.
One to two years of relevant work experience in a hospital and/or physician practice environment, with experience in revenue cycle, billing, coding, and/or patient financial services.
Experience with current medical terminology and data entry.
Experience with supply chain processes and hospital and/or medical group practice operations.
Knowledge of revenue-cycle front-end functions, such as patient registration, that 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.

Nice To Haves

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

Responsibilities

Research, collect, compile, and analyze operational information and data.
Identify opportunities, develop solutions, and collaborate on performance improvement activities.
Distribute analytical reports and develop reports, educational materials, and graphical presentations of data and trends.
Use program and operational measurements to demonstrate progress, return on investment, and impact.
Ensure accurate CPT and/or ICD-10 documentation for patient billing and educate colleagues and providers on documentation and coding of services.
Maintain documentation regarding charge-capture processes and review adherence to those processes.
Identify missing, duplicate, late, or otherwise deficient charges and communicate documentation or charge errors to appropriate stakeholders.
Coordinate with stakeholders regarding the impacts of system change requests and process upgrades on charge-capture accuracy.
Oversee charge reconciliation for assigned departments and ensure appropriate daily and monthly reconciliations occur.
Provide guidance on clinical departmental daily reconciliation, including review of supply and implant charges when applicable.
Perform charge entry or capture, charge approvals, and quality charge reviews, including appending modifiers and checking clinical documentation.
Provide feedback to Revenue Integrity colleagues about areas for improvement.
Review and respond to quality reports, including reports on missing, duplicate, and late charges.
Maintain and update required reference logs and reporting tools.
Support denial-related charge reviews through clinical documentation analysis, root-cause analysis, and education for responsible ancillary departments.
Follow applicable laws, regulations, policies, procedures, and guidelines, and demonstrate honest, ethical, and safe work practices.