Charge Review Specialist

7 days ago


San Antonio, Texas, United States University Health Full time
Job Summary

The Charge Review Analyst plays a critical role in ensuring the accuracy and completeness of clinical department charge entry at University Health. As the primary point of contact for assigned clinical charging departments, this position requires strong critical thinking and interpersonal skills to provide exceptional service to clinical department leaders, nursing staff, and other revenue cycle colleagues.

Key Responsibilities
  • Monitor charge capture across all clinical charging services lines at UH
  • Provide education and training to clinical department staff on charging practices and Epic system updates
  • Identify and resolve charging-related issues through root cause analysis and system updates
  • Ensure daily charge review and reconciliation for clinical departments
  • Collaborate with clinical, financial, and I.T. staff to act as a bridge between departments
  • Organize and schedule meetings with personnel to resolve charging-related issues
Requirements

This position requires a Bachelor's Degree in Accounting, Finance, or Healthcare, or equivalent technical or clinical experience. A minimum of two years of experience in hospital Revenue Integrity, Charge Capture, Nurse Audit, Denials, and/or Clinical Documentation Improvement is also required. Knowledge of medical terminology and coding, as well as experience working within the Epic hospital information systems environment, is essential.

Experience with PC applications such as MS Office Suite, MedAssets, and Hospital Information Systems is also required. Epic Certification in HB Resolute is highly preferred, as is experience with payer reimbursement methodologies and analyzing Medicare fiscal intermediary bulletins and Center for Medicare Services memorandums.



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