Revenue Integrity Clinical Charge Analyst RN

HCA Healthcare - Pasadena, TX

Part-time,Full-time - Mid Level

Remote - Pasadena, 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 providing charge review results, developing educational in-services for staff, and analyzing 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, particularly during the implementation of Meditech Expanse.

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/billing issues.
• Review denial trends for documentation and charging opportunities.
• Serve as a liaison between facilities Administration, d 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 with Facility Department Directors to develop chargemaster and charging practices for new service lines.
• Coordinate updates with Ancillary Departments regarding chargemaster changes.
• Review Regulatory and Compliance Communications and assess their impact on Revenue Integrity procedures.
• Support Charge Optimization projects and assist the Corporate RI team with 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 implementation.
• Familiarity with revenue cycle management processes.

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.
• Education assistance including tuition and certification support.
• Paid time off, paid family leave, and long- and short-term disability coverage.