Charge Capture Analyst

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🕒 5 dias atrás

🇺🇸 Estados Unidos – Remoto (EUA)

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

🧐 Analista

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CorroHealth

SiteLinkedInTodas as Vagas

5001 - 10000 funcionários

⚕️ Seguro de Saúde

☁️ SaaS

🤖 Inteligência Artificial

Healthcare Insurance • SaaS • Artificial Intelligence

CorroHealth é um provedor líder de análises de saúde clinicamente orientadas e soluções impulsionadas por tecnologia, focado em melhorar o desempenho financeiro de hospitais e sistemas de saúde. Suas soluções integradas e tecnologias avançadas visam otimizar todo o ciclo de receita, oferecendo serviços como gestão do ciclo de receita, documentação clínica, codificação médica e gestão de recusas. Com um compromisso de melhorar a saúde financeira por meio de tecnologia inteligente e orientação especializada, a CorroHealth aborda complexas relações entre pagadores e prestadores e apoia operações de saúde eficientes.

Descrição

• Revenue Cycle Consultants provide expertise and support to a wide variety of healthcare organizations to find and develop opportunities for improvement in all aspects of revenue cycle operations while confidently leading all client conversations. • Assess, document, and maintain current and future-state charge capture workflows across applicable departments. • Direct order set and preference card builds within the Epic environment to support accurate and compliant charge capture. • Develop and deliver training and education to hospital staff on charge capture changes, workflow updates, and Epic functionality. • Collaborate with Revenue Integrity and coding teams to develop, implement, and refine processes related to changes made to the Charge Description Master (CDM). • Ensure all charge capture processes align with applicable hospital, regulatory and payer requirements. • Serve as an advisor to hospitals seeking Revenue Cycle insight and guidance on complex regulatory issues under Medicare’s OPPS, IPPS, MPFS, RHC, and CAH reimbursement methodologies.

🎯 Requisitos

• Epic experience — Minimum 3–5 years working with Epic, with emphasis on charge capture, revenue cycle, and related modules; experience with order sets and/or preference cards across revenue‑generating departments. • Charge Description Master — Working knowledge of CDM structure, maintenance, and charge capture audit processes. • Billing and coding expertise — Strong understanding of hospital billing, CPT/ICD‑10 coding, HCPCS/CPT® use, revenue codes, CCI/MUE edits, Type of Bill utilization, and general patient accounting processes. • Revenue cycle knowledge — Familiarity with revenue integrity principles, compliance requirements, and the ability to research complex regulations and form accurate, well‑supported conclusions. • Reimbursement methodology — Solid understanding of Medicare and Medicaid reimbursement for outpatient and inpatient hospital services, ASC, RHC, and professional fee billing. • Healthcare operations — Broad expertise in business office operations for hospitals (acute, LTAC, critical access), physician clinics (RHCs, FQHCs, provider‑based, freestanding), and/or skilled nursing facilities; general understanding of hospital workflows. • Communication and writing — Excellent written and verbal communication skills, including the ability to train diverse audiences and produce clear, concise, authoritative written opinions. • Leadership and project management — Ability to manage multiple projects concurrently, work independently, and perform effectively in a PRN, on‑site environment; strong organizational and time‑management skills. • Medical terminology — Knowledge of medical terminology, pronunciation, and coding for common procedures. • Technical proficiency — Intermediate to advanced skills in Microsoft Excel, Word, and PowerPoint.

🏖️ Benefícios

• We build long-term careers by investing in YOU. • An Epic Charge Capture Analyst configures and manages the charging and billing modules within the Epic electronic health record (EHR) system. • They bridge the gap between clinical care and hospital finance, ensuring that medical services are accurately documented, coded, and billed to maximize revenue and ensure compliance. • Cross-functional Collaboration – Partner with clinical, billing, coding, and IT teams to identify charge capture gaps and implement corrective workflows. • Compliance Support – Ensure all charge capture processes align with applicable hospital, regulatory and payer requirements. • Serve as an advisor to hospitals seeking Revenue Cycle insight and guidance on complex regulatory issues under Medicare’s OPPS, IPPS, MPFS, RHC, and CAH reimbursement methodologies.