Charge Capture Analyst

Job not on LinkedIn

🔥 12 hours ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Analyst

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CorroHealth

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

⚕️ Healthcare Insurance

☁️ SaaS

🤖 Artificial Intelligence

Healthcare Insurance • SaaS • Artificial Intelligence

CorroHealth is a leading provider of clinically led healthcare analytics and technology-driven solutions, focused on enhancing the financial performance of hospitals and health systems. Their integrated solutions and advanced technologies aim to optimize the entire revenue cycle, offering services such as revenue cycle management, clinical documentation, medical coding, and denials management. With a commitment to improving financial health through intelligent technology and expert guidance, CorroHealth addresses complex payer-provider relationships and supports efficient healthcare operations.

📋 Description

• 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.

🎯 Requirements

• 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.

🏖️ Benefits

• 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.