Analyst Charge – RIO; Remote

Employment Type:

Full time

Shift: Day Shift
Pay Range: $21.5178-$32.2766

Description: Purpose:
Work Remote Position. Responsible for the data capture, analysis & reporting of data information to assist the Trinity Health leadership team achieve operational efficiency. Responsible for auditing of department information, producing reports & suggesting improvements to processes. Provides knowledge & expertise in the program, services & applications.

Note:

“patients” refers to patients, clients, residents, participants, customers, members.

• Our Trinity Health Culture:
  Knows, understands, incorporates & demonstrates our Trinity Health Mission, Values, Vision, Actions & Promise in behaviors, practices & decisions.
• Researches, collects & analyzes information. Identifies opportunities, develops solutions, & leads through resolution.
• Collaborates on performance improvement activities as indicated by outcomes in program efficiency & patient experience.
• Responsible for distribution of analytical reports.
• Utilizes multiple system applications to perform analysis, create reports & develop educational materials.
• Incorporates basic knowledge of Trinity Health policies, practices & processes to ensure quality, confidentiality & safety are prioritized.
• Demonstrates knowledge of departmental processes & procedures & ability to readily acquire new knowledge.
• Research & compiles information to support ad‑hoc operational projects & initiatives.
• Synthesizes & analyzes data & provides detailed summaries including graphical presentations illustrating trends & recommending practical options or solutions while considering the impact on business strategy & supporting leadership decision making.
• Leverages program & operational data & measurements to define & demonstrate progress, ROI & impacts.
• Maintains a working knowledge of applicable federal, state & local laws / regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, and other policies, procedures & guidelines to ensure adherence.
• Responsible for accurate CPT and/or ICD‑10 documentation for the patient billing process and educating colleagues and providers.
• Maintains documentation regarding charge capture processes and performs regular reviews of process adherence.
• Coordinates with key stakeholders regarding impacts of system change requests and upgrades to processes to ensure capture accuracy.
• Provides oversight of charge reconciliation processes for assigned departments; ensuring daily and appropriate monthly reconciliations are occurring.
• Performs charge entry/capture functions, charge approvals, and/or quality charge reviews; including appending modifiers and checking clinical documentation.
• Provides feedback to intra‑departmental Revenue Integrity colleagues including areas of opportunity.
• Reviews and responds to various quality reports; maintains and updates required reference logs and other reporting tools.
• Supports other stakeholders with denial related charge reviews including analysis of clinical documentation, root cause analysis and education to the responsible ancillary department.

• High school diploma or GED.
• Minimum of 1 to 2 years of relevant work experience in a hospital and/or Physician Practice environment with experience in revenue cycle, billing, coding and/or patient financial services. Charge control/capture work experience strongly preferred.
• Experience working with current medical terminology, data entry, supply chain processes, hospital and/or Medical Group practice operations; hospital and/or Physician group practice revenue cycle front‑end functions such as patient registration that may impact charge related errors; and billing and regulatory guidelines related to charging and other revenue cycle processes and ability to assist clinical departments and/or physician practices with changes to their charging practices based on guidelines.
• Additional Qualifications (nice to have):
  • Licensure/Certification: RHIA, RHIT, CCS, CPC/COC, AAPC or other coding credentials and/or Licensed Vocational Nurse/Licensed Practical Nurse licensure preferred.
  • CHC (Healthcare Compliance Certification) preferred.
  • CHRI…