Charge Integrity Specialist
3 days ago
University Hospital, Newark NJ is seeking a highly skilled Charge Integrity Analyst to join our revenue cycle team.
Job Summary:The Charge Integrity Analyst will be responsible for managing various operational charge capture functions, serving as the primary liaison between the revenue cycle and clinical leaders. This role will involve assisting clinical leadership and staff with charge reconciliation, charge reporting, and troubleshooting, as well as educating revenue center departments on best practices to review and reconcile their daily charge capture processes.
Key Responsibilities:- Assist clinical leadership and staff with charge reconciliation, charge reporting, and troubleshooting
- Educate revenue center departments on best practices to review and reconcile their daily charge capture processes
- Develop, produce, validate, and distribute standard charge-related reports and other reports as needed
- Work closely with clinical, financial, and IT leadership to ensure that charging, charge reporting, and reconciliation processes function smoothly
- Bachelor's Degree in Accounting, Finance, Business Administration, or a related field
- Three (3) years of experience within revenue cycle required
- Charge Integrity/Chargemaster certification preferred
- Knowledge of revenue cycle processes and hospital/medical billing, including CDM, UB, RAs, and 1500
- Knowledge of code data sets, including CPT, HCPCS, and ICD-10
- Understanding of reimbursement theories, including DRG, OPPS, and managed care
- Knowledge of health care compliance and understanding of charge master set up and maintenance requirements, including EPIC build
- EPIC certification required or obtained within six (6) months of hire
- CPC, CCS, CHRI, CRCR, and/or existing EPIC certification in appropriate module preferred
University Hospital, Newark NJ is an equal opportunity employer and welcomes applications from diverse candidates. We offer a competitive salary and benefits package, as well as opportunities for professional growth and development.
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