Revenue Integrity Clin Charge Review Analyst RN

Revenue Integrity - Richmond, VA

Part-time,Full-time - Mid Level

Richmond, VA

10,001+ employees

About the position

The Revenue Integrity Clinical Charge Review Analyst RN is responsible for ensuring the appropriateness of patient charges by reviewing medical records, facility protocols, and corporate standards. This role involves charge review results, educational in-services 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.
• 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 implement necessary changes.

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
• Familiarity with healthcare revenue cycle management

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