Charge Capture and Reconciliation Analyst

About the role

This position supports hospital and physician charge capture, and revenue improvement initiatives under the direction of the Revenue Integrity Manager.

Responsibilities

• Supports compliance efforts by adhering to regulatory, organizational, and departmental guidelines related to charging for services.
• Manages the revenue cycle reporting, data analysis, database development, and information systems implementation.
• Audits and presents revenue cycle information, audit findings, and statistical trends.
• Builds and nurtures collaborative relationships with the AMI-IS executive team, clinical chairs, faculty, clinicians, and other leaders across the health system.
• Collaborates with billing and internal stakeholders on initiatives to resolve issues, decrease billing delays, and accelerate revenue.
• Maintains positive interactions with department staff and ensures communication concerning data entry status, completeness, or other information concerns.
• Develops reports to support Service Level agreements and identifies opportunities to improve processes, procedures, systems, and organizational structures.
• Serves as a liaison with vendors when information relating to data, analysis, and payer processes is involved.
• Maintains a working knowledge of revenue cycle process to aid in the implementation of regulatory standards that assist compliant charge capture practices.
• Maintains compliance with corporate, federal, and state guidelines, including reviewing commercial bulletins for HCPCS/CPT code changes and additions and billing unit rule changes.

Requirements

• Associate's Degree in HIM, healthcare finance, or a related discipline.
• Three years of experience in hospital clinical and financial data, and expertise working with these complex relationships to produce solutions that ensure appropriate charge capture.
• Epic experience preferred.
• Advanced skills using Microsoft Excel, PowerPoint, Word, Access.
• Strong independent worker with known ability to prioritize and escalate tasks as required.
• Demonstrated ability to manage multiple priorities and meet all established deadlines.
• Excellent verbal and written communication skills.
• Knowledge and expertise across all aspects of healthcare revenue cycle functions, including registration, coding and documentation standards, billing, and collection processes and payor regulations.
• Demonstrated ability to identify data and analytic challenges including data integrity, appropriateness of data sample, and consistency between sources.
• Experience with fully leveraging the power of analytic tools to develop trends and establish dashboards.
• Knowledge of CMS local, state, and federal regulatory and the various data elements associated with all types of claim forms.
• Certified Revenue Cycle Representative (CRCR), CPC, CCS, or other coding credential preferred.

Qualifications

• Associate's Degree in HIM, healthcare finance or a related discipline - required.
• Three years of experience in hospital clinical and financial data, and expertise working with these complex relationships to produce solutions that ensure appropriate charge capture - required.
• Epic experience - preferred.
• Advanced skills using Microsoft Excel, PowerPoint, Word, Access.
• Strong independent worker with known ability to prioritize and escalate tasks as required.
• Demonstrated ability to manage multiple priorities and meet all established deadlines.
• Excellent verbal and written communication skills.
• Knowledge and expertise across all aspects of healthcare revenue cycle functions, including registration, coding and documentation standards, billing, and collection processes and payor regulations.
• Demonstrated ability to identify data and analytic challenges including data integrity, appropriateness of data sample, and consistency between sources.
• Experience with fully leveraging the power of analytic tools to develop trends and establish dashboards.
• Knowledge of CMS local, state, and federal regulatory and the various data elements associated with all types of claim forms.
• Certified Revenue Cycle Representative (CRCR), CPC, CCS, or other coding credential - preferred.

Skills

• Knowledge of healthcare revenue cycle functions.
• Ability to analyze and interpret data.
• Strong communication and interpersonal skills.
• Ability to work independently and manage multiple tasks.
• Advanced proficiency in Microsoft Office Suite.

Benefits

N/A

Pay

$64,972.00 - $97,458.00

Schedule

Day