Charge Analyst II

Department

Revenue Cycle

Responsible for assigned specialty areas and the accurate and timely posting of charges, resolving correct coding initiative (CCI) edits, improving clinical documentation to support ICD-10 requirements, and acting as an educator to department staff and physicians. Serves as a research resource to investigate National and Local Coverage Determinations (NCD) (LCD) and provides education to various Revenue Cycle staff, department personnel, and physicians.

Works with physicians and department staff to enhance clinical documentation that supports procedures performed and various patient diagnoses. Participates in payor audits of specialty areas by performing audits, coordinating audit exit conferences, tracking audits and results, and appealing denied charges through formal appeal process. Acts as ICD-10 educator and leader for assigned departments to assist department staff and physicians in their clinical documentation to support charges and coding.

Performs other Revenue Cycle duties as assigned.

• Require a Bachelor’s degree. Relevant hospital charging, coding or clinical health care work experience can substitute for the required degree.
• Require a minimum of eight (8) years of charging, coding or clinical health care experience involving charging practices and patient flow processes in a specialty area (i.e., Interventional Radiology, Cardiology, General Surgery and Vascular Surgery).
• Require coding certification (CPC) within one (1) year of hire.
• Require coding certification from AAPC in specialty area (i.e., Certified Interventional Radiology Cardiovascular Coder (CIRC) or Radiation Oncology Certified Coder (ROCC) within two (2) years of hire).

• Prefer demonstrated interpersonal and communication skills.
• Prefer working knowledge of commonly used computer applications.
• Prefer the ability to work with minimal supervision.
• Prefer demonstrated proficiency with medical terminology.
• Prefer demonstrated proficiency with specific charging and coding as it applies to Interventional Radiology, Cardiology, General Surgery, and/or Vascular Surgery.
• Prefer demonstrated knowledge of Medicare, Medicaid, and Commercial billing rules, coverage requirements and reimbursement methodologies.
• Prefer clinical certification from a recognized health care credentialing organization in a specialty area (i.e., RRA, RT, VI, CI, RCIS, RVS, CSFA and CST).

As part of Sarasota Memorial Health Care System’s commitment to keeping people safe, all individuals providing care to vulnerable populations are required to undergo background screening through The Florida Care Provider Background Screening Clearinghouse.

Sarasota Memorial Hospital was recently recognized again by ranking #1 Hospital in the Region by the U.S. News's Best Hospital report by scoring a Perfect 10! Not only that, but SMH was also designated at a national "standout" hospital for earning top ratings in all evaluated conditions and procedures - an accomplishment achieved by less than 1% of the 4000+ hospitals.

Our system has also earned Magnet® recognition from the American Nurses Credentialing Center (ANCC), as well as these additional accolades:
Gallup Great Workplace 2018; recipient of an "A" grade for Patient Safety. Sarasota Memorial Hospital is Magnet designated and the only provider of Level II trauma services, obstetrical services, and Level III neonatal intensive care in Sarasota County.

Reputation. Community. Impact. Growth.

Every day, our patients at Sarasota Memorial Health Care System receive a first-class experience in care from a team on a mission to deliver the highest level of care in America. In the process of rising to that challenge, one by one, our people are finding their purpose and feeling their impact. Now it is your turn to see yourself here.

• 5
  - Star Quality Rating - SMH
  - Sarasota is the only hospital in Florida to earn the federal Centers for Medicare & Medicaid Services' highest rating every year since its inception.
• 50 Best Hospitals - SMH ranked among U.S. News & World Report's 50 Best Hospitals in…