Hospital Charge Capture Analyst

2 weeks ago


Galveston, United States UTMB Health Full time

Bachelor's degree or equivalent in Finance, Business Administration, Health Care Administration, Nursing, or related field. 2 years of related experience.

Medical Billing or Coding Experience preferred

ESSENTIAL JOB FUNCTIONS:
* Coordinate with report writers to develop department-specific reporting on revenue
trends and analyze reports on an ongoing basis.
* Proactively identify and analyze gross revenue improvement opportunities as related to
Health System department charging.
* Facilitate prioritization of Revenue Guardian edits, related issues, and ongoing
development of the tool.
* Coordinate with Health System department leads, Revenue Integrity department, and IS
to ensure completion of Revenue Guardian checks and root cause resolution.
* Monitor work queue activity to ensure timeliness of charge entry and follow up with
charging areas as necessary.
* Partner with the CDM team to ensure correctness of coding in the CDM and provide
ongoing education to charging departments.
* Maintain hospital charging related issues list and proposals for resolution.
* Meet with Health System department stakeholders to review reporting and assist with
root cause analysis, which may result in recommended workflow or system changes to
improve performance.
* Provide the data necessary to drive department accountability and achievement of
charge capture metricsPromote charging process standardization across related departments in order to
improve revenue capture.
* Coordinate with IS on completion of any build or enhancements to the system to resolve
technical issues related to revenue capture.
* Ensure any necessary training is provided to end users in order to correct existing
workflows or educate on new processes.

JOB SUMMARY

Develops and tracks meaningful charging metrics and key performance indicators for Health System departments to ensure accurate and optimal revenue capture. Interprets metrics and reporting; manages issues; Utilizes appropriate tools to support hospital charge capture, revenue reconciliation, and root cause analysis of department charge variance trends. Partners with Revenue Integrity and Health System department counterparts to organize initiatives surrounding charge capture opportunities and continual process improvement on an ongoing basis.

Equal Employment Opportunity

UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a VEVRAA Federal Contractor, UTMB Health takes affirmative action to hire and advance women, minorities, protected veterans and individuals with disabilities.



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