Revenue Integrity Clin Charge Review Analyst RN

HCA Healthcare - Gainesville, FL

Part-time,Full-time - Mid Level

Gainesville, 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 coordination for facility staff, and monitoring denial trends to identify documentation and charging opportunities. The analyst will also manage conversion-related charging activities during the Meditech Expanse implementation and maintain communication with facility departments to resolve charging issues.

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.
• Serve as a liaison between facility administration and ancillary department directors regarding charging issues.
• Manage conversion-related charging activities during Meditech Expanse implementation.
• Conduct concurrent charge reviews to support the application of charges in Patient Accounting.
• Monitor charging practices across all facilities through charge reviews and remedial training.
• Provide education and training on Charge Reconciliation reporting to facility departments.
• Collaborate with facility department directors in developing 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 with Meditech Expanse implementation.
• Familiarity with regulatory compliance communications.

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