Revenue Clinical Charge Analyst Rn - Richmond, United States - Revenue Integrity

Revenue Integrity
Revenue Integrity
Verified Company
Richmond, United States

3 weeks ago

Mark Lane

Posted by:

Mark Lane

beBee recruiter
Description

Introduction:


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._


We are seeking a Revenue Clinical Charge Analyst RN for our team to ensure that we continue to provide all patients with high quality, efficient care.

Did you get into our industry for these reasons? We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do.

We want you to apply


Job Summary and Qualifications:


The Revenue Integrity Clinical Charge Analyst is responsible for determining the appropriateness of patient charges by reviewing the medical record, facility protocol, corporate standards and other applicable documentation.

Provides charge review results and develops and coordinates educational in-services for facility staff related to charging/billing issues. Reviews denial trends for documentation and charging opportunities.

Serves as a liaison between facilities Administration, Shared Services Center, and ancillary department directors regarding charging issues, clinical documentation issues and revenue opportunities.


In this role you will:


  • During the implementation of Meditech Expanse, is responsible for constant communication with Facility Departments to address any identified charging issues prior to and post golive. It is the responsibility of this position to ensure the Facility CFO will be kept up to date on progress related to charging activity.
  • Consistently monitors charging practices across all facilities to include charge reviews, remedial training and education.
  • Provide education and training to Facility Departments on the Charge Reconciliation reporting. Performs oversight and trending of reporting on a monthly basis.
  • Works directly with Facility Departments by providing education to support HCA charging practices and regulatory requirements.
  • Work directly with Facility Department Directors when standing up new service lines and/or procedures to develop chargemaster and charging practices utilizing approved standardization guidelines. Monitors charging practices upon implementation to provide specific guidance related to charging activity and provide support with education.
  • Serves as chargemaster liaison to facilitate clinical department education on appropriate charging of CPT codes, Revenue Codes, and communicating with Ancillary Departments to resolve issues. Coordinates updates (activate, inactivate, modification) with Ancillary Departments as necessary.
  • Reviews Regulatory and Compliance Communications, applicable CMS transmittals, and Local Coverage Decisions (LCD). Assess impact to Revenue Integrity procedures and implement changes as needed.
  • Works on Charge Optimization projects when time permits and supports the Corporate RI team when necessary on special projects, charge reviews and patient audits.
  • Practice and adhere to the "Code of Conduct" philosophy and "Mission and Value Statement".
  • Other duties as assigned.

Qualifications that you will need:


  • Registered Nurse Degree required.
  • Minimum 1 year directly related Healthcare experience required. Knowledge of CPT/HCPCS codes or experience in charging or performing charging validation reviews p
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