Billing Integrity Analyst: Charge Master & CPT Coding

HCA Healthcare; Brentwood (TN); On-site; USD 65,000 - 95,000; Full time

Benefits offered by this job

Medical & prescription

Dental & Vision

Wellbeing support

401(k) match

Education support

Fertility benefits

Job summary

HCA Healthcare, through Parallon, seeks a Credentialing Billing Integrity Analyst to determine the appropriateness of patient charges and HCPCS/CPT coding by reviewing medical records and facility protocols. You will serve as a primary contact for charge-related inquiries and ensure regulatory compliance in billing processes.

The role requires an associate degree or higher with healthcare experience; RHIT/CCS/CPC credentials are preferred.

Qualifications

• Associate degree or higher; healthcare license/certification required.
• Minimum 1 year directly related healthcare experience or coding experience.
• Knowledge of CPT/HCPCS codes or charging validation reviews preferred.
• Healthcare certification/licensure such as RHIT, CCS, CCP, CPC or AHIMA credential, can be accepted in lieu of degree with work experience.

Responsibilities

• Analyze and resolve billing edits requiring HCPCS/CPT coding based on chargemaster expertise and ensure timely claim processing.
• Identify charging, chargemaster coding, or clinical documentation issues and coordinate resolution with leadership and ancillary departments.
• Serve as chargemaster liaison to educate clinical departments on CPT codes and communicating with Ancillary Departments.
• Review CMS transmittals and LCDs; assess impact to Billing Integrity procedures and implement changes as needed.
• Maintain billing education and participate in webcasts and conference calls as required.

Skills

Billing accuracy

Regulatory compliance knowledge

Attention to detail

Education

Associate degree or higher (healthcare)

Tools

CPT/HCPCS coding knowledge

Chargemaster knowledge

Job description

HCA Healthcare, through Parallon, seeks a Credentialing Billing Integrity Analyst to determine the appropriateness of patient charges and HCPCS/CPT coding by reviewing medical records and facility protocols. You will serve as a primary contact for charge-related inquiries and ensure regulatory compliance in billing processes.

The role requires an associate degree or higher with healthcare experience; RHIT/CCS/CPC credentials are preferred.