Revenue Integrity Clin Charge Review Analyst RN

HCA Healthcare - Salem, VA

Part-time,Full-time - Mid Level

Remote - Salem, VA

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 serves as a liaison between various departments to address charging issues and enhance revenue opportunities.

Responsibilities

• Determine the appropriateness of patient charges by reviewing medical records and applicable documentation.
• 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.
• Educate Facility Departments on HCA charging practices and regulatory requirements.
• 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.
• Participate in charge optimization projects and support the Corporate Revenue Integrity team on special projects.

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 or similar healthcare software.

Benefits

• Comprehensive medical coverage with low copays and free telemedicine services.
• Dental and vision benefits, life and disability coverage.
• Flexible spending accounts and supplemental health protection plans.
• 401(k) Plan with a 100% match on 3% to 9% of pay.
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock.
• Family support through fertility and family building benefits.
• Referral services for child, elder, and pet care.
• Education assistance including tuition and certification support.
• Time Away From Work Program including paid family leave and disability coverage.