Charge Analyst (Remote)
Charge Analyst (Remote)
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Salary Not Disclosed
1 Vacancy
Job Description
Employment Type:
Full timeShift:
Day ShiftDescription:
Purpose
Work Remote Postion
Responsible for the data capture analysis & reporting of data information to assist the Trinity Health leadership team achieve operational efficiency. Responsible for auditing of department information producing reports & suggesting improvements to processes. Provides knowledge & expertise in the program services & applications.
Note: patients refers to patients clients residents participants customers members
Essential Functions
Our Trinity Health Culture: Knows understands incorporates & demonstrates our Trinity Health Mission Values Vision Actions & Promise in behaviors practices & decisions.
Work Focus:
Researches collects & analyzes information. Identifies opportunities develops solutions & leads through resolution.
Collaborates on performance improvement activities as indicated by outcomes in program efficiency & patient experience.
Responsible for distribution of analytical reports.
Process Focus:
Utilizes multiple system applications to perform analysis create reports & develop educational materials.
Incorporates basic knowledge of Trinity Health policies practices & processes to ensure quality confidentiality & safety are prioritized.
Demonstrates knowledge of departmental processes & procedures & ability to readily acquire new knowledge.
Data Management & Analysis:
Research & compiles information to support ad-hoc operational projects & initiatives.
Synthesizes & analyzes data & provides detailed summaries including graphical data presentations illustrating trends & recommending practical options or solutions while considering the impact on business strategy & supporting leadership decision making.
Leverages program & operational data & measurements to define & demonstrate progress ROI & impacts.
Maintains a Working Knowledge of applicable federal state & local laws / regulations Trinity Health Integrity & Compliance Program & Code of Conduct as well as other policies procedures & guidelines in order to ensure adherence in a manner that reflects honest ethical & professional behavior & safe work practices.
Functional Role (not inclusive of titles or advancement career progression)
Responsible for ensuring accurate CPT and/or ICD-10 documentation for the patient billing process and educating colleagues and providers in accurately document services performed and using the appropriate codes representing those services. Maintains documentation regarding charge capture processes. Performs regular reviews of process adherence and identify missing charges. Coordinates with key stakeholders regarding impacts of system change requests and upgrades to processes to ensure capture accuracy. Provides oversight of charge reconciliation processes for assigned departments; ensuring daily and appropriate monthly reconciliations are occurring.
May perform or provide at elbow guidance to clinical departmental daily reconciliation processes including ensuring supply charges are appropriate captured (may include implants) identify duplicate charges and initiate appropriate communications when there are documentation and/or charge deficiencies or charge errors.
Performs charge entry/capture functions charge approvals and/or quality charge reviews; including but not limited to appending modifiers and checking clinical documentation. Provides feedback to intra-departmental Revenue Integrity colleagues including areas of opportunity.
Reviews and responds to various quality reports including reports that identify missing charges duplicate charges late charges etc. Maintain and update required reference logs and other reporting tools. May create and present information for decision making purposes.
Supports other stakeholders with denial related charge reviews including analysis of clinical documentation root cause analysis and education to the responsible ancillary department.
(Pay Range: $21>5178-$32.2766)
Minimum Qualifications
High school diploma or GED
Minimum of one (1) to two (2) years of relevant work experience in a hospital and/or Physician Practice environment and experience in revenue cycle billing coding and/or patient financial services. Charge control/capture work experience strongly preferred.
Experience working with current medical terminology data entry supply chain processes hospital and/or Medical Group practice operations; hospital and/or Physician group practice revenue cycle front-end functions such as patient registration that may impact charge related errors; and billing and regulatory guidelines related to charging and other revenue cycle processes and ability to assist clinical departments and/or physician practices with changes to their charging practices based on guidelines.
Additional Qualifications (nice to have)
Licensure/Certification: RHIA RHIT CCS CPC/COC AAPC or other coding credentials and/or Licensed Vocational Nurse/Licensed Practical Nurse licensure preferred. CHC (Healthcare Compliance Certification) preferred. CHRI certification/membership strongly preferred.
Physical & Mental Requirements & Working Conditions (General Summary)
Direct Healthcare Services / Indirect Healthcare / Support Services:
- Exposure to conditions which may be considered unpleasant to sight touch sound & / or smell. Occasional
- Exposure to fumes odors dusts mists & gases biohazards / hazards (mechanical electrical burns chemicals radiation sharp objects etc.). Occasional
- Exposure to or subject to noise infectious waste diseases & conditions. Occasional
- Exposure to interruptions shifting priorities & stressful situations. Frequent
- Ability to follow tasks through to completion understand & relate to complex ideas / concepts remember multiple tasks & regimens over long periods of time & work on concurrent tasks / projects. Frequent
- Ability to read small print hear sounds & voice / speech patterns give / receive instructions & other verbal communications (in-person & / or over the phone / computer / device / equipment assigned) with some background noise. Frequent
- Perform manual dexterity activities & / or grasping / handling. Continuous
- Ability to climb kneel crouch & / or operate foot controls. Occasional
- Use a computer / other technology. Frequent
- Sit with the ability to vary / adjust physical position or activity. Frequent
- Maintain a safe working environment & use available personal protective equipment (PPE). Continuous
- Comply with Trinity Healths Code of Conduct policies procedures & guidelines. Continuous
- Ability to provide assistance in the event of an emergency. Occasional
Direct Healthcare Services:
- Perform activities that require standing / walking with the ability to vary / adjust physical position or activity. Occasional
- Lift a maximum of 30 pounds unassisted. Occasional
- Use upper & lower extremities engage in bending / stooping / reaching & pushing / pulling. Occasional
- Work indoors (subject to travel requirements) under temperature-controlled & well-lit conditions. Continuous
- Encounter worksites (e.g. patient homes) or travel to worksites that may have variable internal & external environmental conditions. Occasional
- Perform work that involves physical efforts (e.g. transporting moving positioning & / or ambulating patients). Occasional
Indirect Healthcare / Support Services:
- Perform activities that require standing / walking with the ability to vary / adjust physical position or activity. Occasional
- Lift a maximum of 30 pounds unassisted. Occasional
- Experience of long periods of walking / standing / stooping / bending / pulling & / or pushing. Occasional
- Encounter a clinical / patient facing / hands on interactive work environment. Occasional
- Work indoors (subject to travel requirements) under temperature-controlled & well-lit conditions. Continuous
- Work outdoors with variable external environmental conditions. Occasional
Average Workday Activity: Occasional - O (1% - 33%) Frequent - F (34% - 66%) Continuous - C (67% - 100%)
Our Commitment
Rooted in our Mission and Core Values we honor the dignity of every person and recognize the unique perspectives experiences and talents each colleague brings. By finding common ground and embracing our differences we grow stronger together and deliver more compassionate person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin disability veteran status or any other status protected by federal state or local law.
Required Experience:
IC
Employment Type
Full-Time
