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Charge Integrity Analyst- HIM Revenue Integrity
3 months ago
Seeking highly motivated, self-sufficient and team-oriented individual to work within Revenue Integrity. The Charge Integrity Analyst will work across multiple Shared Services entities within UNC Health and partner with a multi-faceted team to achieve high performance goals.
The Charge Integrity Analyst is responsible for troubleshooting charge issues, performing charge capture and maintenance of the CDM.
This is a Fully Remote Position eligible for hire from: Alabama, Alaska, Arizona, Arkansas, Florida, Georgia, Idaho, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Michigan, Mississippi Missouri, Montana, Nebraska, New Hampshire, New Mexico, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, West Virginia, Wisconsin and Wyoming.
Description of Job Responsibilities:
Reviews, validates, and compliantly charges for appropriately documented services.
Performs charge capture for ED Visit levels, procedures performed during the ED visit, as well as the administration of infusions, injections, and vaccines.
Collaborates with Emergency Departments, Reimbursement, Compliance, Health Information Management, and Patient Financial Services on charging, documentation, and billing issues.
Identifies and troubleshoots charge issues and opportunities for charge/process enhancements.
Analyzes and coordinates electronic data files with hospital departments and ensures missed charges are billed. Creates and submits quarterly reports to monitor the impact of missed revenue and the outcome of revenue posted. Submits recommendations and assists hospital departments with corrective action plans.
Audits revenue reports to ensure charge accuracy, reviews daily high dollar reports to confirm precision of charge amount and units billed, and coordinates activities with hospital departments to make charge corrections. Performs periodic charge audits to ensure appropriate charging of services based on medical documentation. Compiles reports and submit findings and recommendations to department managers.
Assists with maintenance of the charge master by performing daily validation of the CDM, reconciles monthly CDM files, and actively meets project deadlines.
Reviews departmental charge capture procedures and maintains yearly review of documented procedures, updating as appropriate.
Maintains a copy of all charging procedures, and audits departments to ensure they are following documented protocol.
Other Information
Educational Requirements:
Bachelor's degree in an appropriate discipline (or equivalent combination of education, training, and experience).
Professional Experience Requirements:
If a Bachelor's degree: Three (3) years of experience in a hospital setting with knowledge of Medicare billing and experience interpreting government regulations.
If an Associate's degree: Seven (7) years of experience in a hospital setting with knowledge of Medicare billing and experience interpreting government regulations.
If a High School diploma or GED: Eleven (11) years of experience in a hospital setting with knowledge of Medicare billing and experience interpreting government regulations.
Knowledge, Skills & Abilities Requirements:
Results oriented with the ability to meet deadlines in a fast-paced, dynamic, project-oriented environment.
Proficient in time management with superior prioritization skills.
Effective verbal and written communication skills with the ability to professionally present information to all levels of management.
Preferred candidate will have extensive knowledge of CPT Codes, Hospital Charges and Revenue Cycle. Understanding of Infusion/Injection charges preferred.
Job Details
Legal Employer: NCHEALTH
Entity: Shared Services
Organization Unit: HIM Revenue Integrity
Work Type: Full Time
Standard Hours Per Week: 40.00
Salary Range: $20.88 - $30.02 per hour (Hiring Range)
Pay offers are determined by experience and internal equity
Work Assignment Type: Remote
Work Schedule: Day Job
Location of Job: US:NC:Chapel Hill
Exempt From Overtime: Exempt: Yes
This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job.
Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.
