Charge Analyst I

Sarasota Memorial Health Care System • Sarasota, FL

2d

About The Position

The Charge Analyst I is responsible for accurate and timely posting of department charges, including charges for areas such as the OR, Cath Lab, EP Lab, Interventional Radiology, and Observation. The role works under the direction and supervision of management and the indirect guidance of the Revenue Cycle division. It supports compliant charging for all payors by reviewing medical records to ensure clinical documentation supports charge accuracy.

The position interacts with clinical staff to improve documentation, resolves charging-area Correct Coding Initiative (CCI) edits independently, and serves as a resource and educator to physicians and staff regarding National and Local Coverage Determinations (NCDs and LCDs). The Charge Analyst I also assists with information for appeals and audits, provides ICD-10 education and documentation training, and performs other reimbursement assignments to resolve billing, coding, or collection issues.

Requirements

• At least six years of health care experience and familiarity with charging practices and patient flow processes.
• At least three years of coding experience.
• Certified Professional Coder (CPC) certification, or obtain it within one year of hire.
• High school diploma, GED, or certificate.

Nice To Haves

• Demonstrated interpersonal and communication skills.
• Working knowledge of commonly used computer applications.
• Ability to work with minimal supervision.
• Demonstrated proficiency with medical terminology.
• Proficiency in charging and coding as applied to Cardiology, General Surgery, Interventional Radiology, and/or Vascular Surgery.
• Knowledge of Medicare, Medicaid, and Commercial billing rules and coverage requirements.
• Associate's degree.

Responsibilities

• Post department charges accurately and promptly for areas such as the OR, Cath Lab, EP Lab, Interventional Radiology, and Observation.
• Review medical records to ensure clinical documentation supports charge accuracy and compliant charging practices for all payors.
• Interact with clinical staff to educate them and improve documentation supporting the care provided and charges posted.
• Independently resolve charging-area Correct Coding Initiative (CCI) edits.
• Educate physicians, physician office staff, and department staff on the appropriate application of and compliance with National and Local Coverage Determinations (NCDs and LCDs).
• Assist Revenue Cycle staff by providing information to support appeals or audits.
• Lead, mentor, and train appropriate physicians and staff on ICD-10 education and documentation requirements.
• Perform other reimbursement assignments to resolve billing, coding, or collection issues.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED