Submission for the position: Charge Integrity Analyst 1 - Temple, United States - Baylor Scott & White Healthcare

Baylor Scott & White Healthcare Temple, United States

2 weeks ago

Full time

Description

JOB SUMMARY

The Charge Integrity Analyst I performs duties of moderate complexity, judgment, and scope. The associate is accountable for maintaining a working knowledge of professional and technical charge editing processes.

ESSENTIAL FUNCTIONS OF THE ROLE

Serves as an internal resource to clinical departments, revenue cycle operations, and other departments as needed to resolve charge errors.
Accountable for claim edit and Discharged Not Billed (DNB) work queues in the patient accounting system.
Accountable for professional charge review, claim edits, and follow-up edits in the patient accounting system.
Maintains current knowledge of all professional and technical charge entry systems in the clinical and hospital billing systems.
Maintains a basic to moderate knowledge of ordering processes, and how various systems flow for generation of charges for billing.
Processes compliance audit corrections in the professional and/or technical charge review environment. Will report all potential compliance findings to management.
Assists in the resolution of billing edits and denials.
Acts as a liaison between management, billing, HIM, and clinical departments to resolve errors related to professional or technical charge practices.
Researches clinical documentation in the medical record to validate that charging activity is appropriate. Completes thorough and accurate documentation.

KEY SUCCESS FACTORS

Working knowledge of hospital systems utilized in revenue cycle functions including registration, charge entry, order entry, and billing.
Working knowledge of medical terminology.
Ability to establish and maintain working relationships.
Ability to communicate effectively and professionally with physicians, both in writing and orally; courtesy; initiative; resourcefulness.
Excellent customer service skills.
Proficient with MS Office applications.
Must be willing to work varying hours according to work requirements, including nights and weekends.
Proficient typing (35 wpm minimum)/keyboarding skills.
Ability to multi-task.

BENEFITS

Our competitive benefits package includes the following

Immediate eligibility for health and welfare benefits
401(k) savings plan with dollar-for-dollar match up to 5%
Tuition Reimbursement
PTO accrual beginning Day 1

Note: Benefits may vary based upon position type and/or level

QUALIFICATIONS

EDUCATION - H.S. Diploma/GED Equivalent
EXPERIENCE - Less than 1 Year of Experience

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