Revenue Integrity Charge Review Analyst

Revenue Integrity - Richmond, VA

Part-time,Full-time - Mid Level

Richmond, VA

10,001+ employees

About the position

The Revenue Integrity Charge Review Analyst plays a crucial role in ensuring accurate charge capture and revenue integrity across hospital departments. This position involves monitoring daily charges, identifying discrepancies, and collaborating with various stakeholders to optimize revenue processes. The analyst will also engage in charge optimization projects and support the implementation of new systems, ensuring compliance with regulatory requirements and maintaining high-quality patient care.

Responsibilities

• Determine and identify variations in daily total charges across all hospital revenue generating departments.
• Monitor daily ancillary charge reports to identify potential charging issues related to system failures or updates.
• Review denial trends for documentation and charging opportunities.
• Serve as a liaison between facilities Administration, Shared Services Center, and ancillary department directors regarding total charge variations and revenue opportunities.
• Review daily charges during the implementation of Meditech Expanse to ensure expected total charge variations balance to maintain revenue neutrality.
• Collaborate with revenue generating department leaders to determine changes in charging practices during system implementations.
• Monitor revenue and usage reports to identify potential net revenue variations and lost revenue.
• Perform root cause analysis on identified total charge variations and collaborate with relevant teams to resolve issues.
• Engage in annual chargemaster updates to understand impacted charges and their effects on total charge variations.
• Review Regulatory and Compliance Communications, applicable CMS transmittals, and Local Coverage Decisions (LCD).
• Work on Charge Optimization projects and support the Corporate RI team on special projects.

Requirements

• 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 in lieu of degree with work experience.

Nice-to-haves

• Experience with Meditech systems
• Familiarity with revenue cycle management processes
• Strong analytical skills
• Excellent communication skills

Benefits

• Employee stock purchase plan
• Disability insurance
• Health insurance
• Dental insurance
• Flexible spending account
• Tuition reimbursement
• Paid time off
• Adoption assistance
• Family leave
• Vision insurance
• 401(k) matching
• Pet insurance