Revenue Integrity Charge Analyst

Job Summary

The Revenue Integrity Charge Review Analyst is responsible for determining and identifying variations in daily total charges across all hospital revenue generating departments. They monitor daily ancillary charge reports, review denial trends, and serve as a liaison between facilities administration, shared services center, and ancillary department directors.

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, both prior to 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, making necessary corrections in Patient Accounting.
• 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.
• Develop chargemaster and charging practices for new service lines or procedures, following approved standardization guidelines.
• Monitor charging practices post-implementation to offer targeted guidance and support.
• Consistently 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.
• Collaborate 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.

Qualifications

• 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.

Benefits

Parallon offers a comprehensive benefits package including medical, prescription drug, dental, vision, behavioral health, and telemedicine services. Wellbeing support includes free counseling and referral services, time away from work programs, and savings and retirement resources like a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service).