Senior Charge Capture Analyst

Job not on LinkedIn

🔥 18 minutes ago

🌴 South Carolina – Remote

🌴 South Carolina – Remote

⏰ Full Time

🟠 Senior

🧐 Analyst

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Prisma Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 2017

🏥 Healthcare

💰 Grant on 2024-08

Healthcare

Prisma Health is a large integrated health system that operates hospitals, clinics, and related patient services in South Carolina and Tennessee. The organization employs nearly 32,000 people and focuses on providing clinical care, nursing and allied health services, and workforce training (e. g. , nurse residency programs), with an emphasis on patient-centered care and community health. The company posts career opportunities across administrative, clinical, technical, and support roles and highlights benefits, hiring events, and candidate resources on its careers site.

📋 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. • Validates assigned principal diagnosis, all secondary diagnoses, principal procedures and all secondary procedures and CPT/HCPCs codes. • 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. Reviews escalated accounts and issues. • Participates in system conversions, implementations, and upgrades. Provides coding and reimbursement revenue of all proposed builds. • Identifies and troubleshoots charge issues and opportunities for enhancement. Supports the RI team by optimizing processes to ensure services rendered are accurately reported and reimbursed while maintaining compliance. • Reviews departmental charge capture processes for compliance and updates documented procedures as appropriate. • Coordinates with Department leadership, CDM team and related stakeholders on new procedures being performed to assure charges are set up appropriately and timely education is provided to those affected.

🎯 Requirements

• Education - High School diploma or equivalent or post-high school diploma / highest degree earned. • Experience - 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.