Senior Charge Analyst Revenue Cycle

OhioHealth•Columbus, OH

About The Position

The Senior Charge Analyst serves as a liaison between clinical operations and revenue cycle, ensuring workflows and controls support accurate and timely charge capture in compliance with OhioHealth policies. The role identifies opportunities for overcharging or undercharging and addresses root causes using knowledge of clinical operations, documentation, coding, and charge capture. The analyst provides guidance to clinical and operational teams on revenue cycle functions, supports documentation and workflow improvements, performs account reviews and multidisciplinary charge audits, and develops education and training materials. The role also contributes to OhioHealth’s Hospital Revenue Integrity Program by maintaining current regulatory standards and industry best practices. Other duties may be assigned by the Manager of Hospital Revenue Integrity.

Requirements

  • Bachelor's degree.
  • Registered Nurse (RN) credential through the Ohio Board of Nursing.
  • Advanced knowledge of hospital operations and revenue cycle functions and their interdependencies, from scheduling through collection of the final bill.
  • Working knowledge of reimbursement methodologies in an integrated, progressive healthcare delivery system.
  • Strong audit experience.

Responsibilities

  • Serve as the primary care site-specific resource to clinical and operational teams on daily revenue cycle functions, including charge posting, charge reconciliation, charge lag, and identified charge capture opportunities.
  • Engage with clinical and operational leaders to identify and bridge gaps in clinical and system workflows and establish controls for accurate and timely charge capture.
  • Assist clinical departments in documenting services and understanding the relationship between clinical documentation, medical necessity, coding, and charge capture.
  • Perform daily account reviews of accounts with potential missing charges using Revenue Guardian, a front-end Epic solution.
  • Conduct annual multidisciplinary charge audits, including review of supporting clinical documentation and billing data.
  • Summarize audit findings and prepare reporting materials for discussion with clinical, operational, internal audit, compliance, risk, and finance teams.
  • Develop educational materials and facilitate training on clinical documentation, coding, and charge capture processes in accordance with OhioHealth policies and procedures.
  • Contribute to developing and refining the Hospital Revenue Integrity Program by maintaining current regulatory standards reflective of industry best practice.
  • Perform other duties as assigned by the Manager of Hospital Revenue Integrity.
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