Jobs · Healthcare · Virginia

Revenue Integrity Charge Analyst

HCA Healthcare · Richmond, VA · 1 mo ago
On-siteHealthcare$21.87–$32.81/hrFull-time

Pay

Hourly Wage Estimate: $21.87 – $32.81 per hour. The estimate represents the typical wage range for candidates hired; actual salary may vary based on specific skills, years of experience, and comparison to other employees in this role. The typical candidate is hired below the midpoint of the range.

Location & Travel

This is a work‑from‑home position. Candidates must reside within 60 miles of an HCA Healthcare hospital in one of the following states: FL, GA, ID, KS, KY, MO, NV, NH, NC, SC, TN, TX, UT, VA. The role requires up to 60% travel.

Responsibilities

  • 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 before and after go‑live.
  • Ensure the Facility CFO is regularly updated on the progress of charging activities.
  • Perform detailed charge audits by verifying billing data against clinical documentation and make necessary corrections in Patient Accounting.
  • Present audit‑based recommendations to Corporate and SSC Revenue Integrity Leadership and facility ancillary department directors to improve documentation accuracy, charging workflows, and compliance.
  • Collaborate with facility department directors to develop chargemaster and charging practices for new service lines or procedures, following approved standardization guidelines.
  • Monitor charging practices post‑implementation and provide targeted guidance and support.
  • Continuously monitor charging practices across all facilities through charge reviews, remedial training, and education.
  • Act as Chargemaster liaison for clinical departments to facilitate education on appropriate charging of CPT codes and Revenue Codes.
  • Work 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 impact on Revenue Integrity procedures and implement necessary changes.
  • Maintain up‑to‑date billing knowledge through webcasts and conference calls, ensuring continuous education.
  • Apply working knowledge of Medicare guidance, inpatient/outpatient status, and observation requirements.
  • Utilize Revenue Cycle Pro, 3M Coding systems, and 3M Coding Resources.
  • Participate in charge optimization projects and support the Corporate Revenue Integrity team on special projects, charge reviews, and patient audits as needed.

Qualifications

  • Associate degree or higher, or a healthcare license/certification.
  • Minimum 1 year of directly related healthcare experience or coding experience.
  • 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., may be accepted in lieu of a degree with work experience.

Benefits

  • Comprehensive medical, prescription drug, dental, vision, behavioral health, and telemedicine coverage.
  • Wellbeing support, including free counseling and referral services.
  • Paid time off, paid family leave, long‑ and short‑term disability, and other leave of absence programs.
  • 401(k) plan with a 100% match on 3%–9% of pay (based on years of service).
  • Employee Stock Purchase Plan.
  • Flexible spending accounts and preferred banking partnerships.
  • Retirement readiness tools, rollover support, and financial wellbeing counseling.
  • Education support: tuition assistance, student loan assistance, certification support, dependent scholarships, and 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.

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