Revenue Integrity Charge Analyst

HCA Healthcare•Richmond, VA

3d•Remote

About The Position

The Revenue Integrity Charge Analyst identifies variations in daily total charges across hospital revenue-generating departments. The analyst monitors daily ancillary charge reports and other data to detect potential charging issues, including those related to system failures or updates, and reviews denial trends for documentation and charging opportunities. The position serves as a liaison among facility administration, the Shared Services Center, and ancillary department directors regarding charge variations and revenue opportunities. During implementation of Meditech Expanse, the analyst reviews daily charges to ensure expected total charge variations balance and maintain revenue neutrality, and works with revenue-generating department leaders before and after go-live to identify changes in charging practices and where charges will move. The analyst also monitors charges and revenue, investigates variations, supports charge optimization projects when time permits, and assists the Corporate Revenue Integrity team with special projects as needed. This is a work-from-home position requiring residence and work within 60 miles of an HCA Healthcare hospital in one of the listed states, with up to 60% travel.

Requirements

Associate degree or above, or a healthcare license/certification.
At least 1 year of directly related healthcare experience or coding experience.
The position requires residence and work within 60 miles of an HCA Healthcare hospital in Florida, Georgia, Idaho, Kansas, Kentucky, Missouri, Nevada, New Hampshire, North Carolina, South Carolina, Tennessee, Texas, Utah, or Virginia.
Willingness to travel up to 60%.

Nice To Haves

Knowledge of CPT/HCPCS codes.
Experience in charging or performing charging validation reviews.
Healthcare certification or licensure such as RHIT, CCS, CCP, CPC, another recognized AHIMA certified coding credential, LPN, LVN, RT, or PT; may be accepted in lieu of a degree with work experience.

Responsibilities

Review daily charges during Meditech Expanse implementation to ensure expected total charge variations balance and maintain revenue neutrality.
Collaborate with revenue-generating department leaders before and after Meditech Expanse go-live to determine which charging practices will change and where charges will move.
Monitor daily ancillary charge reports and other analytic tools to identify total charge and potential net revenue variations.
Monitor revenue and usage reports, including posted charges and unused chargemaster lines, to identify potential lost revenue.
Perform root cause analysis on identified total charge variations and collaborate with Revenue Integrity Clinical Analysts and/or Facility Directors to resolve issues.
Monitor total charges associated with new service lines, procedures, and systems to ensure charges flow through the various systems to Patient Accounting.
Reconcile charging based on swings in gross charges and monitor changes for compliance with standardized HCA and regulatory requirements.
Monitor charging practices that affect total charges across HCA facilities.
Participate in annual chargemaster updates to understand affected charges and resulting total charge variations.
Review regulatory and compliance communications, applicable CMS transmittals, and Local Coverage Decisions (LCDs).
Work on Charge Optimization projects when time permits and support the Corporate Revenue Integrity team on special projects when necessary.
Serve as a liaison among facility administration, the Shared Services Center, and ancillary department directors regarding total charge variations and revenue opportunities.
Review denial trends for documentation and charging opportunities.

Benefits

Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health, and telemedicine services.
Wellbeing support, including free counseling and referral services.
Paid time off and paid family leave, long- and short-term disability coverage, and leaves of absence.
401(k) plan with a 100% match on 3% to 9% of pay, based on years of service.
Employee Stock Purchase Plan.
Flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support, and financial wellbeing counseling.
Tuition assistance, student loan assistance, certification support, dependent scholarships, and a partnership with Galen College of Nursing.
Fertility and family-building benefits and adoption assistance.
Life insurance and supplemental health protection plans.
Auto and home insurance, legal counseling, identity theft protection, and consumer discounts.