Charge Capture Analyst

Tallahassee Memorial Healthcare•Tallahassee, FL

2d•Onsite

About The Position

Tallahassee Memorial Healthcare (TMH) is a private, nonprofit community-based healthcare system that provides care to a 22-county region in North Florida and South Georgia. We are a career destination with over 6,000 colleagues who reflect the diversity of our community. TMH is the region's healthcare leader and top provider of advanced care with a 772-bed acute care hospital and the region's only: Level II Trauma Center, Primary Stroke Center, Level III Neonatal Intensive Care, Pediatric Intensive Care. The most advanced cancer, heart and vascular, orthopedic & surgery programs in the Panhandle. Our system also includes a psychiatric hospital, multiple specialty care centers, six residency programs and more than 50 affiliated physician practices.

Requirements

High school diploma or equivalent (e.g., certificate of high school equivalency).
Two (2) years of healthcare finance, authorization, reimbursement and/or billing experience

Nice To Haves

Associate degree in a finance- or health-related field.
Two (2) or more years of clinical experience.
Experience with Microsoft (MS) Office (i.e., Outlook, Excel, Word, and Access).
Strong knowledge of coding, billing, and reimbursement processes.
Strong workflow knowledge.
Excellent written
Licensed as a registered nurse (RN) or licensed practical nurse (LPN) in accordance with Florida Statutes (F.S.), Title XXXII (Regulation of Professions and Occupations), Chapter 464 (Nursing), Part I (Nurse Practice Act) [includes multistate compact licensure].
One or more of the following: Certified Surgical Technologist (CST) credential from the National Board of Surgical Technology and Surgical Assisting (NBSTSA), Tech in Surgery--Certified (TS-C) credential from the National Center for Competency Testing (NCCT), Nationally Certified Operating Room and Surgical Technician (NCORST) credential from the National Healthcare Workers Association (NHCWA), or the Nationally Certified Surgical Technologist (NCST) credential from American Allied Health (AAH).

Responsibilities

Responsible for ensuring insurance information and authorizations are accurate for appropriate billing.
Works in partnership with the RN/Nurse Manager and referring providers to ensure accuracy of scheduling, laboratory order entries, and activations.
Works in partnership with Patient Financial Services (department 8221) in reviewing denials and preparing appeals for correct reimbursement.
Works in partnership with Finance (department 8211) and Charge Capture (department 8243) to ensure the charge master is accurate and up to date.
Analyzes and audits daily reports to ensure optimum workflow; communicates with end users to identify issues and recommend workflow changes.