Charge Integrity Analyst 1

Baylor Scott & White Health•Arlington, TX

24d•Hybrid

About The Position

Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. The Charge Integrity Analyst I performs duties of moderate complexity, judgment, and scope. The associate must know professional and technical charge editing processes. Hybrid position: Candidate must live in the Baylor Scott & White service area (DFW, Temple/Waco, Greater Austin Area, and/or College Station).

Requirements

Working knowledge of hospital systems utilized in revenue cycle functions including registration, charge entry, order entry, and billing.
Working knowledge of medical terminology.
Ability to establish and maintain working relationships.
Ability to communicate effectively and professionally with physicians, both in writing and orally; courtesy; initiative; resourcefulness.
Excellent customer service skills.
Proficient with MS Office applications.
Must be willing to work varying hours according to work requirements, including nights and weekends.
Proficient typing (35 wpm minimum)/keyboarding skills.
Ability to multi-task.
Must have revenue cycle experience in a healthcare setting.
Experience with Epic is required.
Collections experience
Front-end and back end revenue cycle knowledge is essential.
H.S. Diploma/GED Equivalent
Less than 1 Year of Experience

Nice To Haves

Access service experience is preferred.

Responsibilities

Serves as an internal resource to clinical departments, revenue cycle operations, and other departments as needed to resolve charge errors.
Accountable for claim edit and Discharged Not Billed (DNB) work queues in the patient accounting system.
Accountable for professional charge review, claim edits, and follow-up edits in the patient accounting system.
Maintains current knowledge of all professional and technical charge entry systems in the clinical and hospital billing systems.
Maintains a basic to moderate knowledge of ordering processes, and how various systems flow for generation of charges for billing.
Processes compliance audit corrections in the professional and/or technical charge review environment. Will report all potential compliance findings to management.
Assists in the resolution of billing edits and denials.
Acts as a liaison between management, billing, HIM, and clinical departments. Resolves errors related to professional or technical charge practices.
Researches clinical documentation in the medical record to validate that charging activity is appropriate. Completes thorough and accurate documentation.