JOB SUMMARY AND QUALIFICATIONS

The Revenue Integrity Charge Review Analyst is responsible for determining and identifying variations in daily total charges across all hospital revenue generating departments. Monitors daily ancillary charge report to identify any potential charging issue related to system failures, system updates or other. Reviews denial trends for documentation and charging opportunities. Serves as a liaison between facilities Administration, Shared Services Center, and ancillary department directors regarding total charge variations and revenue opportunities.

QUALIFICATIONS THAT YOU WILL NEED:

• Associate Degree or above; or healthcare license/certification required.
• Minimum 1 year directly related Healthcare experience or coding experience required.
• Knowledge of CPT/HCPCS codes or experience in charging or performing charging validation reviews preferred.
• Healthcare certification/licensure such as RHIT, CCS, CCP,CPC or other recognized AHIMA certified coding credential, LPN, LVN, RT, PT, etc., can be accepted lieu of degree with work experience.
  Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll, and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers, and their communities.
  HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
  “Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr.
  HCA Healthcare Co-Founder
  If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Revenue Integrity Charge Review Analyst opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!
  We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status

• Conduct reviews of charging, coding, and clinical documentation, collaborating with Corporate Revenue Integrity Leadership during Meditech Expanse implementation.
• Maintains constant communication with Facility Departments during Meditech Expanse implementation to address identified charging issues, both prior to and after go-live. This role ensures the Facility CFO is regularly updated on the progress of charging activities.
• Perform detailed charge audits by verifying billing data against clinical documentation, making necessary corrections in Patient Accounting. Based on audit findings, present recommendations to Corporate and SSC Revenue Integrity Leadership, as well as facility ancillary department directors, to enhance documentation accuracy, charging workflows, and overall compliance.
• Collaborates with Facility Department Directors in developing chargemaster and charging practices for new service lines or procedures, following approved standardization guidelines. Monitors charging practices post-implementation to offer targeted guidance and support.
• Consistently monitors charging practices across all facilities through charge reviews, remedial training, and education.
• Acts as Chargemaster liaison for clinical departments to facilitate education on appropriate charging of CPT codes and Revenue Codes. Collaborates with Ancillary Departments to resolve issues and coordinate necessary updates (activation, deactivation, or modification).
• Review HCA regulatory communications, applicable CMS transmittals, and Local Coverage Determinations (LCDs), assess their impact on Revenue Integrity procedures, and implement necessary changes.
• Maintain up-to-date billing knowledge through webcasts and conference calls, ensuring continuous education.
• Possess working knowledge of Medicare guidance, inpatient/outpatient status, and observation requirements.
• Knowledge of Revenue Cycle Pro, 3M Coding systems, and 3M Coding Resources.
• Participates in charge optimization projects and supports the Corporate Revenue Integrity team on special projects, charge reviews, and patient audits as needed.