[Remote] Analyst Charge - RIO (Remote)

Note: The job is a remote job and is open to candidates in USA. Trinity Health is a healthcare organization committed to delivering compassionate care. They are seeking a Revenue Integrity Charge Analyst who will be responsible for data capture, analysis, and reporting to enhance operational efficiency within the organization. This role includes auditing department information, producing reports, and providing insights to improve processes while ensuring accurate documentation for the patient billing process.

Responsibilities

• 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
• 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

Skills

• 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
• 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

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