Revenue Integrity Clin Charge Review Analyst RN

HCA Healthcare - Hudson, FL

Part-time,Full-time - Mid Level

Hudson, FL

10,001+ employees

Hospitals

About the position

The Revenue Integrity Clinical Charge Review Analyst RN at HCA Healthcare is responsible for ensuring the appropriateness of patient charges by reviewing medical records and facility protocols. This role involves charge review results, educational in-services for staff, and monitoring denial trends to identify documentation and charging opportunities. The analyst serves as a liaison between various departments to address charging issues and enhance revenue integrity.

Responsibilities

• Determine the appropriateness of patient charges by reviewing medical records and facility protocols.
• Provide charge review results and develop educational in-services for facility staff related to charging and billing issues.
• Review denial trends for documentation and charging opportunities.
• Manage conversion-related charging activities during Meditech Expanse implementation.
• Maintain communication with Facility Departments to address charging issues during implementation.
• Monitor charging practices across all facilities through charge reviews and training.
• Provide education and training on Charge Reconciliation reporting and analyze monthly reporting trends.
• Collaborate with Facility Department Directors to develop chargemaster and charging practices for new service lines.
• Act as a liaison for clinical departments to facilitate education on appropriate charging of CPT codes and Revenue Codes.
• Review regulatory and compliance communications and assess their impact on Revenue Integrity procedures.

Requirements

• Registered Nurse Degree required.
• Minimum 1 year directly related Healthcare experience required.
• Knowledge of CPT/HCPCS codes or experience in charging or performing charging validation reviews preferred.

Nice-to-haves

• Experience in revenue cycle management or healthcare billing processes.

Benefits

• 401(k) matching
• Adoption assistance
• Dental insurance
• Disability insurance
• Employee stock purchase plan
• Family leave
• Flexible spending account
• Comprehensive medical coverage
• Free counseling services
• Education assistance (tuition, student loan, certification support)
• Time Away From Work Program (paid time off, paid family leave)