Charge Capture Analyst hybrid

WakeMed Health & HospitalsRaleigh, NC
Hybrid

About The Position

The Charge Capture Analyst is responsible for the analytics to identify opportunities, problem resolutions, process improvements, and system changes to enhance revenue cycle metrics. Maintains revenue integrity of Chargemaster files, fee schedules, and charge capture through annual updates, periodic audits, and ongoing reviews. Serves as a resource in developing and documenting routine custom billing system tests, builds, and enhancements that will improve maintenance and/or prevent billing errors. Reviews Current Procedural Terminology coding and CMS updates, and disseminates information to the clinical departments and other appropriate staff. Works with Revenue Cycle, Finance, and clinical departments to analyze coding and billing processes to ensure accurate and optimal revenue capture by developing trending, modeling, and other assessment tools. Works with coding personnel to ensure the codes in the Chargemaster are accurate and current. Works with clinical departments to ensure proper revenue reconciliation.

Requirements

  • 4 Years Accounting/Finance - Coding Required
  • 2 Years Accounting/Finance - Billing Required

Nice To Haves

  • EPIC Certification in Area of Responsibility Preferred

Responsibilities

  • Identify opportunities, problem resolutions, process improvements, and system changes to enhance revenue cycle metrics.
  • Maintain revenue integrity of Chargemaster files, fee schedules, and charge capture through annual updates, periodic audits, and ongoing reviews.
  • Develop and document routine custom billing system tests, builds, and enhancements.
  • Review Current Procedural Terminology coding and CMS updates, and disseminate information.
  • Analyze coding and billing processes to ensure accurate and optimal revenue capture.
  • Ensure codes in the Chargemaster are accurate and current.
  • Ensure proper revenue reconciliation with clinical departments.
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