Charge Analyst - Richmond, United States - Revenue Integrity

Revenue Integrity
Revenue Integrity
Verified Company
Richmond, United States

1 hour ago

Mark Lane

Posted by:

Mark Lane

beBee recruiter
Description

Introduction:


Do you have the career opportunities as a Revenue Integrity Charge Analyst you want with your current employer? We have an exciting opportunity for you to join Parallon which is part of the nation's leading provider of healthcare services, HCA Healthcare.


Benefits:

Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues.

The available plans and programs include:

  • Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
  • Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, longterm care coverage, moving assistance, pet insurance and more.
  • Free counseling services and resources for emotional, physical and financial wellbeing
  • 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  • 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
  • Retirement readiness, rollover assistance services and preferred banking partnerships
  • 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 employeeonly coverage to fulltime and parttime colleagues based on income.
Learn more about Employee Benefits


_ Note:
Eligibility for benefits may vary by location._
Our teams are a committed, caring group of colleagues.

Do you want to work as a Revenue Integrity Charge Analyst where your passion for creating positive patient interactions are valued? If you are dedicated to caring for the well-being of others, this could be your next opportunity.

We want your knowledge and expertise


Job Summary and Qualifications:


The Revenue Integrity Charge 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.


What you will do in this role:

  • During the implementation of Meditech Expanse, will review daily charges to ensure expected total charge variations balance to maintain revenue neutrality.
  • During the implementation of Meditech Expanse, collaborates with revenue generating department leaders prior to and post golive to determine what charging practices will change and where charges will move too.
  • Monitors daily ancillary charge report and other data analytic tools to identify total charge and potential net revenue variations.
  • Monitors revenue and usage reports outlining charges posted and nonusage of charge master lines to determine if revenue is being lost.
  • Performs root cause analysis on identified total charge variations and collaborates with the Revenue Integrity Clinical Analysts and/or Facility Director to resolve identified issue.
  • Monitors total charges associated with new service lines, procedures and/or systems to ensure charges are crossing through the various systems to Patient Accounting.
  • Reconciles charging based on swings in gross charges, monitor changes are in compliance with standardized HCA and regulatory requirements.
  • Consistently monitors charging practices that impact total charges across HCA facility.
  • Engages in the annual chargemaster updates to gain an understanding of charges being impacted and how those changes will drive total charge variations.
  • Reviews Regulatory and Compliance Communications, applicable CMS transmittals, and Local Coverage Decisions (LCD).
  • Works on Charge Optimization projects when time permits and support the Corporate RI team when necessary on special projects.

Qualifications that you will need:


  • 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.
  • Trauma specific charge capture expe
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