Charge Review Analyst

University Health System•San Antonio, TX

51d•Onsite

About The Position

University Health is one of the largest employers in San Antonio. We are a nationally recognized teaching hospital and consistently recognized as a leader in advanced treatment options, new technologies and clinical research. Our mission is to improve the good health of the community through high quality compassionate patient care, innovation, education and discovery. We are currently looking for a talented health professional to join our team as a Charge Review Analyst. This is an exciting opportunity to join a company with a reputation for exceptional service and patient care. The Position: The Charge Review Analyst is responsible for monitoring charge capture across all clinical charging services lines at UH, serving as the primary point of contact and subject matter expert for assigned clinical charging departments with the expectation of providing the highest level of service to these departments. The Analyst, as part of a team, oversees the charging practices of University Health and maintains direct relationships with clinical department leaders, nursing staff, technologists, I.T. staff, Billing, Coding, Compliance, CDM, and other Revenue Integrity team members to act as the bridge between clinical, financial, and I.T. staff working within the Epic environment.

Requirements

A Bachelor's Degree in Accounting, Finance, or Healthcare is required. Equivalent technical or clinical experience may be considered in lieu of education.
A minimum of two (2) years' experience with hospital Revenue Integrity, Charge Capture, Nurse Audit, Denials, and/or Clinical Documentation Improvement is required.
Knowledge of medical terminology and coding required.
Experience working within the Epic hospital information systems environment is required.
Experience with PC applications such as MS Office Suite (Excel, PowerPoint, Word, Access), MedAssets, and Hospital Information Systems (Epic, 3M) is required.

Nice To Haves

Epic Certification in HB Resolute is highly preferred.
Experience with payer reimbursement methodologies (Commercial and Government) preferred.
Experience with analyzing Medicare fiscal intermediary bulletins and Center for Medicare Services memorandums preferred.
Experience participating in a revenue integrity program preferred.

Responsibilities

Maintains ongoing relationships and communication with clinical charging areas to ensure all charging related issues are identified, analyzed, and resolved on a timely basis.
Communicates regularly regarding changes made to workflows, charging tools, Work queues, or system settings.
Performs concurrent audits as requested and trained by Charge Review Manager, ensuring timely and accurate completion, and perform defense audits from third party payors per guidance of Charge Review Manager.
Identifies revenue opportunities and assist with analyzing the financial impact of such opportunities.
Performs other duties as assigned.