Senior Charge Capture Analyst

🕒 April 16

🌴 South Carolina – Remote

🌴 South Carolina – Remote

⏰ Full Time

🟠 Senior

🧐 Analyst

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Prisma Health

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

Prisma Health is a comprehensive health care provider offering a wide range of medical services to ensure individuals achieve their healthiest state. With numerous locations, advanced technology, and expert specialists, Prisma Health provides accessible and convenient care. Services include primary care, specialized heart, cancer, women's, and children's health, as well as same-day and telehealth options. Prisma Health emphasizes community outreach and education to support overall health and wellness.

📋 Description

• Advises departmental revenue owners and staff on proper usage of charge codes. • Monitors daily charge capture, revenue reconciliation, late charge trending, revenue trending, and work queues. • Identifies operational trends. • Reviews and applies appropriate billing guidelines and identifies opportunities for capturing additional revenue. • Develops data requirements and works with analytics groups to complete internal charge review audits for assigned clinical departments to ensure that charges are generated in accordance with established policies and timeframes. • Assists supervisor in addressing questions from staff regarding coding and billing issues. • Participates in system conversions, implementations, and upgrades. • Identifies and troubleshoots charge issues and opportunities for enhancement.

🎯 Requirements

• High School diploma or equivalent or post-high school diploma / highest degree earned. • Five (5) years of healthcare revenue cycle experience. • In lieu of the education and experience requirements noted above, the following combination of education, training and/or experience may be considered an equivalent substitution: Associate degree and four (4) years of healthcare revenue cycle experience including two (2) years of charge description master/revenue integrity experience. • In lieu of the education and experience requirements noted above, the following combination of education, training and/or experience may be considered an equivalent substitution: Bachelor's Degree and two (2) years charge description master/revenue integrity experience. • Certification in one of the following: LPN, RHIT, RHIA, CCS, CPC, or CBCS. • Understanding of OPPS, IPPS, ICD10 Coding, HCPCS/CPT Coding, revenue cycle processes. • Ability to interact with diverse groups at all levels of the organization by providing guidance and education. • Ability to understand and apply National and Local Coverage Determination to complete assigned work queues and educate facility departments routinely.

🏖️ Benefits

• Inspire health. • Serve with compassion. • Be the difference.