Revenue Integrity Charge Review Analyst

HCA Healthcare-posted 3 months ago

Full-time • Entry Level

Plano, TX

Hospitals

Resume

Match Score

Upload and Match ResumeTrack Jobs with Teal

The Revenue Integrity Charge Review Analyst is responsible for determining and identifying variations in daily total charges across all hospital revenue generating departments. Monitors daily ancillary charge report to identify any potential charging issue related to system failures, system updates or other. Reviews denial trends for documentation and charging opportunities. Serves as a liaison between facilities Administration, Shared Services Center, and ancillary department directors regarding total charge variations and revenue opportunities.

Conduct reviews of charging, coding, and clinical documentation, collaborating with Corporate Revenue Integrity Leadership during Meditech Expanse implementation.
Maintain constant communication with Facility Departments during Meditech Expanse implementation to address identified charging issues, both prior to and after go-live.
Perform detailed charge audits by verifying billing data against clinical documentation, making necessary corrections in Patient Accounting.
Present recommendations to Corporate and SSC Revenue Integrity Leadership, as well as facility ancillary department directors, to enhance documentation accuracy, charging workflows, and overall compliance.
Collaborate with Facility Department Directors in developing chargemaster and charging practices for new service lines or procedures.
Monitor charging practices post-implementation to offer targeted guidance and support.
Consistently monitor charging practices across all facilities through charge reviews, remedial training, and education.
Act as Chargemaster liaison for clinical departments to facilitate education on appropriate charging of CPT codes and Revenue Codes.
Review HCA regulatory communications, applicable CMS transmittals, and Local Coverage Determinations (LCDs), assess their impact on Revenue Integrity procedures, and implement necessary changes.
Maintain up-to-date billing knowledge through webcasts and conference calls.
Participate in charge optimization projects and support the Corporate Revenue Integrity team on special projects, charge reviews, and patient audits as needed.

Associate Degree or above; or healthcare license/certification required.
Minimum 1 year directly related Healthcare experience or coding experience required.
Knowledge of CPT/HCPCS codes or experience in charging or performing charging validation reviews preferred.
Healthcare certification/licensure such as RHIT, CCS, CCP, CPC or other recognized AHIMA certified coding credential, LPN, LVN, RT, PT, etc., can be accepted in lieu of degree with work experience.

Comprehensive medical coverage that covers many common services at no cost or for a low copay.
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans.
Free counseling services and resources for emotional, physical and financial wellbeing.
401(k) Plan with a 100% match on 3% to 9% of pay.
Employee Stock Purchase Plan with 10% off HCA Healthcare stock.
Family support through fertility and family building benefits with Progyny and adoption assistance.
Referral services for child, elder and pet care, home and auto repair, event planning and more.
Consumer discounts through Abenity and Consumer Discounts.
Education assistance (tuition, student loan, certification support, dependent scholarships).
Colleague recognition program.
Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence).
Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Track Jobs with Teal

Job Search Resources

•

AI Resume Builder

•

Data Integrity Analyst Resume Examples

•

Cover Letter Examples

Revenue Integrity Charge Review Analyst

Job Search Resources

Tools

Career Hubs

Guides

Company