Charge Integrity Analyst- HIM Revenue Integrity

UNC Health • Chapel Hill, NC

200d • $21 - $30 • Remote

About The Position

Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. The position assists the Charge Master Coordinator in the maintenance of the Charge Description Master (CDM).

Requirements

• Bachelor's degree in an appropriate discipline (or equivalent combination of education, training and experience).
• If a Bachelor's degree: Three (3) years of experience in a hospital setting with knowledge of Medicare billing and experience interpreting government regulations.
• If an Associate's degree: Seven (7) years of experience in a hospital setting with knowledge of Medicare billing and experience interpreting government regulations.
• If a High School diploma or GED: Eleven (11) years of experience in a hospital setting with knowledge of Medicare billing and experience interpreting government regulations.

Responsibilities

• Analyzes and coordinates electronic data files with hospital departments and ensures missed charges are billed.
• Creates and maintains daily excel files.
• Coordinates rule issues with vendor and compiles new rules as necessary.
• Creates and submits quarterly reports to monitor the impact of missed revenue and the outcome of revenue posted.
• Submits recommendations and assists departments with corrective action plans.
• Assists CDM Coordinator with maintenance of the charge master file.
• Performs daily validation of CDM maintenance.
• Processes/coordinates CDM projects/files given by manager.
• Assists with reconciliation of monthly CDM files in BPI.
• Audits revenue reports to ensure charge accuracy.
• Reviews daily high dollar reports to ensure accuracy of charge amount and units billed.
• Coordinates activities with hospital departments to make charge corrections.
• Performs periodic audits to ensure appropriate charging of services based on medical documentation.
• Compiles reports and submits findings and recommendations to department managers.
• Reviews departmental charge capture procedures.
• Ensures updates have been added during yearly review procedures.
• Maintains a copy of all procedures.
• Performs random department audits to ensure they are following their procedures.

Benefits

• Full Time Work Type
• Standard Hours Per Week: 40.00
• Salary Range: $21.40 - $30.76 per hour (Hiring Range)
• Pay offers are determined by experience and internal equity
• Remote Work Schedule: Day Job

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Ambulatory Health Care Services
• Education Level: Bachelor's degree