Charge Analyst II
About The Position
Responsible for assigned specialty areas and the accurate and timely posting of charges, resolving correct coding initiative (CCI) edits, improving clinical documentation to support ICD-10 requirements, and acting as an educator to department staff and physicians. Serves as a research resource to investigate National and Local Coverage Determinations (NCD) (LCD) and provides education to various Revenue Cycle staff, department personnel, and physicians. Works with physicians and department staff to enhance clinical documentation that supports procedures performed and various patient diagnoses. Participates in payor audits of specialty areas by performing audits, coordinating audit exit conferences, tracking audits and results, and appealing denied charges through formal appeal process. Acts as ICD-10 educator and leader for assigned departments to assist department staff and physicians in their clinical documentation to support charges and coding. Performs other Revenue Cycle duties as assigned.
Requirements
- Require a Bachelor’s degree. Relevant hospital charging, coding or clinical health care work experience can substitute for the required degree.
- Require a minimum of eight (8) years of charging, coding or clinical health care experience involving charging practices and patient flow processes in a specialty area (i.e., Interventional Radiology, Cardiology, General Surgery and Vascular Surgery).
- Require coding certification (CPC) within one (1) year of hire.
- Require coding certification from AAPC in specialty area (i.e., Certified Interventional Radiology Cardiovascular Coder (CIRC) or Radiation Oncology Certified Coder (ROCC) within two (2) years of hire.
Nice To Haves
- Prefer demonstrated interpersonal and communication skills.
- Prefer working knowledge of commonly used computer applications.
- Prefer the ability to work with minimal supervision.
- Prefer demonstrated proficiency with medical terminology.
- Prefer demonstrated proficiency with specific charging and coding as it applies to Interventional Radiology, Cardiology, General Surgery, and/or Vascular Surgery.
- Prefer demonstrated knowledge of Medicare, Medicaid, and Commercial billing rules, coverage requirements and reimbursement methodologies.
- Prefer clinical certification from a recognized health care credentialing organization in a specialty area (i.e. RRA, RT, VI, CI, RCIS, RVS, CSFA and CST).
Responsibilities
- Accurate and timely posting of charges
- Resolving correct coding initiative (CCI) edits
- Improving clinical documentation to support ICD-10 requirements
- Acting as an educator to department staff and physicians
- Investigating National and Local Coverage Determinations (NCD) (LCD)
- Providing education to various Revenue Cycle staff, department personnel, and physicians
- Enhancing clinical documentation that supports procedures performed and various patient diagnoses
- Participating in payor audits of specialty areas by performing audits, coordinating audit exit conferences, tracking audits and results, and appealing denied charges through formal appeal process
- Acting as ICD-10 educator and leader for assigned departments to assist department staff and physicians in their clinical documentation to support charges and coding
- Performing other Revenue Cycle duties as assigned
Benefits
- Paid Time Off (start earning PTO on day one of employment)
- Tuition Reimbursement
- Discounted Medical, Prescription, Dental, Vision Benefit Plans for Full & Part-Time Employees
- Flexible Spending Accounts (Health Care and Dependent Care) - Pre-Tax Dollars
- Life Insurance
- Competitive rates
- Bonuses offered
- Disability Insurance
- Retirement Savings Plan: 403b
- Sarasota Campus for now - Discounted Child Care & Before and After School Program and Summer Camp!
- Bereavement Leave
- Free Parking
- On Campus Dining w/ a 10% discount
- Credit Union w/ teller machines on campus
- Direct Deposit
- Free Wellness Screening
- Free confidential counseling services
- Employee Discount Programs
- Recognition Programs
- Referral Programs
- Tremendous growth opportunities for hard workers!
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
