Revenue Integrity Clinical Coding Analyst RN

HCA Healthcare - Nashville, TN

Part-time,Full-time - Mid Level

Nashville, TN

10,001+ employees

Hospitals

About the position

The Revenue Integrity Clinical Coding 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, 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 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 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 implement necessary changes to Revenue Integrity procedures.
• Support 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.
• Experience as a Coder with Revenue Integrity background preferred.
• Medical Necessity and Clinical Analysts experience preferred.

Nice-to-haves

• Experience in charge optimization projects.
• Familiarity with regulatory compliance communications.

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 and adoption assistance.
• Education assistance including tuition and certification support.
• Paid time off, paid family leave, and disability coverage.