Revenue Integrity Charge Analyst

This position will require up to 60% travel.

This Work from Home position requires that you live and will perform the duties of the position; within 60 miles of an HCA Healthcare Hospital (Our hospitals are located in the following states: FL, GA, , KS, KY, MO, NV, NH, NC, SC, TN, TX, UT, VA).

The Revenue Integrity Charge Review Analyst is responsible for determining and identifying variations in daily total charges across all hospital revenue generating departments. Monitors daily ancillary charge report to identify any potential charging issue related to system failures, system updates or other. Reviews denial trends for documentation and charging opportunities. Serves as a liaison between facilities Administration, Shared Services Center, and ancillary department directors regarding total charge variations and revenue opportunities.

• Conduct reviews of charging, coding, and clinical documentation, collaborating with Corporate Revenue Integrity Leadership during Meditech Expanse implementation.
• Maintain constant communication with Facility Departments during Meditech Expanse implementation to address identified charging issues, both prior to and after go-live. This role ensures the Facility CFO is regularly updated on the progress of charging activities.
• Perform detailed charge audits by verifying billing data against clinical documentation, making necessary corrections in Patient Accounting. Based on audit findings, present recommendations to Corporate and SSC Revenue Integrity Leadership, as well as facility ancillary department directors, to enhance documentation accuracy, charging workflows, and overall compliance.
• Collaborates with Facility Department Directors in developing charge master and charging practices for new service lines or procedures, following approved standardization guidelines. Monitors charging practices post-implementation to offer targeted guidance and support.
• Consistently monitors charging practices across all facilities through charge reviews, remedial training, and education.
• Acts as Chargemaster liaison for clinical departments to facilitate education on appropriate charging of CPT codes and Revenue Codes. Collaborates with Ancillary Departments to resolve issues and coordinate necessary updates (activation, deactivation, or modification).
• Review HCA regulatory communications, applicable CMS transmittals, and Local Coverage Determinations (LCDs), assess their impact on Revenue Integrity procedures, and implement necessary changes.
• Maintain up-to-date billing knowledge through webcasts and conference calls, ensuring continuous education.
• Possess working knowledge of Medicare guidance, inpatient/outpatient status, and observation requirements.
• Knowledge of Revenue Cycle Pro, 3M Coding systems, and 3M Coding Resources.
• Participates in charge optimization projects and supports the Corporate Revenue Integrity team on special projects, charge reviews, and patient audits as needed.

• Associate Degree or above; or healthcare license/certification required.
• Minimum 1 year directly related Healthcare experience or coding experience required.
• Knowledge of CPT/HCPCS codes or experience in charging or performing charging validation reviews preferred.
• Healthcare certification/licensure such as RHIT, CCS, CCP, CPC or other recognized AHIMA certified coding credential, LPN, LVN, RT, PT, etc., can be accepted lieu of degree with work experience.

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support including free counseling and referral services
• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources
  , including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Note:
Eligibility for benefits may vary by location.

Unlock the possibilities and apply today!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.