Change Analyst Revenue Integrity (Remote)

Trinity Health•Livonia, MI

1d•$22 - $32•Remote

About The Position

The Revenue Integrity Charge Analyst is a remote position responsible for capturing, analyzing, and reporting data to support operational efficiency and leadership decision-making. The role audits departmental information, produces reports, recommends process improvements, and provides expertise in relevant programs, services, and applications. The analyst ensures accurate CPT and/or ICD-10 documentation for patient billing and educates colleagues and providers on documenting services and applying appropriate codes. Responsibilities include maintaining charge-capture documentation, reviewing adherence to processes, identifying missing charges, coordinating with stakeholders about system changes and upgrades, and overseeing charge reconciliation for assigned departments. The role may support daily clinical department reconciliation, including supply and implant charge capture, identifying duplicate charges, and communicating documentation or charge deficiencies. It may also involve charge entry, approvals, quality reviews, modifier checks, review of clinical documentation, and feedback to Revenue Integrity colleagues. The analyst reviews quality reports, maintains reference logs and reporting tools, prepares information for decision-making, and supports denial-related charge reviews through documentation analysis, root-cause analysis, and education.

Requirements

High school diploma or GED.
One to two years of relevant work experience in a hospital and/or physician practice environment, with experience in revenue cycle, billing, coding, and/or patient financial services.
Experience with current medical terminology, data entry, supply-chain processes, and hospital and/or Medical Group practice operations.
Experience with revenue-cycle front-end functions, such as patient registration, that may affect charge-related errors.
Knowledge of billing and regulatory guidelines related to charging and other revenue-cycle processes, and ability to help clinical departments and/or physician practices change charging practices in accordance with guidelines.
Working knowledge of applicable federal, state, and local laws and regulations, and relevant organizational compliance policies and procedures.

Nice To Haves

Charge-control or charge-capture work experience is strongly preferred.
RHIA, RHIT, CCS, CPC/COC, AAPC, or other coding credentials are preferred.
Licensed Vocational Nurse or Licensed Practical Nurse licensure is preferred.
CHC (Healthcare Compliance Certification) is preferred.
CHRI certification or membership is strongly preferred.

Responsibilities

Research, collect, and analyze information; identify opportunities, develop solutions, and lead issues through resolution.
Collaborate on performance-improvement activities related to program efficiency and patient experience.
Distribute analytical reports.
Use multiple system applications to analyze information, create reports, and develop educational materials.
Research and compile information for ad hoc operational projects and initiatives.
Synthesize and analyze data; prepare detailed summaries and graphical presentations illustrating trends and recommending practical options or solutions.
Use program and operational data and measurements to define and demonstrate progress, return on investment, and impacts.
Ensure accurate CPT and/or ICD-10 documentation for patient billing and educate colleagues and providers on accurate documentation and code selection.
Maintain documentation regarding charge-capture processes and regularly review process adherence to identify missing charges.
Coordinate with stakeholders regarding the impacts of system change requests and process upgrades on charge-capture accuracy.
Oversee charge-reconciliation processes for assigned departments and ensure appropriate daily and monthly reconciliations occur.
May guide clinical departments through daily reconciliation, including supply and implant charge capture; identify duplicate charges and communicate documentation or charge deficiencies and errors.
Perform charge entry or capture, charge approvals, and quality charge reviews, including appending modifiers and checking clinical documentation.
Provide Revenue Integrity colleagues with feedback about improvement opportunities.
Review and respond to quality reports concerning missing, duplicate, or late charges, among other issues.
Maintain and update required reference logs and reporting tools; may create and present information for decision-making.
Support denial-related charge reviews through clinical documentation analysis, root-cause analysis, and education for responsible ancillary departments.
Apply knowledge of relevant laws, regulations, policies, procedures, and guidelines to support compliance, ethical conduct, and safe work practices.
Demonstrate Trinity Health's Mission, Values, Vision, Actions, and Promise in work behaviors, practices, and decisions.