Revenue Integrity Clinical Charge Analyst RN

Medical City Healthcare - Arlington, TX

Part-time,Full-time - Mid Level

Arlington, TX

10,001+ employees

Hospitals

About the position

The Revenue Integrity Clinical Charge Analyst RN plays a crucial role in ensuring the accuracy of patient charges by reviewing medical records and facility protocols. This position involves collaboration with various departments to address charging issues, provide education, and monitor compliance with regulatory requirements. The analyst will also be involved in the implementation of Meditech Expanse, focusing on charge mapping and reconciliation, while supporting the overall revenue integrity processes within the organization.

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 facilities Administration, Shared Services Center, and ancillary department directors regarding charging issues.
• Monitor charging practices across all facilities, including charge reviews and remedial training.
• Provide education and training to Facility Departments on Charge Reconciliation reporting.
• Work directly with Facility Department Directors to develop chargemaster and charging practices for new service lines.
• Coordinate updates with Ancillary Departments as necessary regarding charging practices.
• Review Regulatory and Compliance Communications and assess their impact on Revenue Integrity procedures.
• Support the Corporate RI team on special projects, charge reviews, and patient audits.

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.
• Strong communication skills for liaising with various departments.

Benefits

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