Charge Analyst I

Sarasota Memorial Health Care System; Sarasota (FL); On-site; USD 70,000 - 90,000; Full time

Job summary

Sarasota Memorial Health Care System seeks a detail-oriented charging specialist to ensure accurate posting of charges across departments including OR, Cath Lab, and Interventional Radiology. You will review medical records to verify documentation supports charges and address CCI edits under supervision.

The role involves educating physicians and staff on compliant coding, assisting with appeals or audits, and mentoring teams on ICD-10 documentation requirements.

Qualifications

• Requires at least six (6) years of health care experience and familiarity with charging practices and patient flow processes.
• Requires a minimum of three (3) years of coding experience.
• Certified Professional Coder (CPC) or to be obtained within one (1) year of hire.

Responsibilities

• Post department charges for OR, Cath Lab, EP Lab, Interventional Radiology, Observation, etc.
• Review medical records to ensure documentation supports charge accuracy.
• Educate clinical staff to improve documentation that supports charges.
• Resolve CCI edits independently within charging areas.
• Serve as a resource to physicians and staff on coding and billing compliance.
• Assist with appeals or audits and provide information to support them.
• Provide leadership, mentoring, and training on ICD-10 education and documentation requirements.

Skills

Healthcare experience

Coding

Interdepartmental communication

Documentation

Education

High School Diploma or GED

Associate's Degree preferred

Job description

Department

Revenue Cycle

Job Summary

Responsible for accurate and timely posting of department (OR, Cath Lab, EP Lab, Interventional Radiology, Observation, etc.) charges, under the direction and supervision of management and indirectly under the guidance of the Revenue Cycle division. Provides compliant charging practices for all payors by reviewing the medical record for appropriate clinical documentation that supports the accuracy of charges. Interacts with clinical staff to educate and improve clinical documentation that supports the care provided and charges posted. Independently resolves charging area's Correct Coding Initiative (CCI) edits. Serves as a resource and educator to physicians, physician office staff, and department staff regarding appropriate application and compliance with National and Local Coverage Determinations (NCD) (LCD). Assists Revenue Cycle staff in providing information to support appeals or audits. Acts as a leader, mentor, and trainer to all appropriate physicians and staff for ICD-10 education and documentation requirements. Performs other reimbursement assignments to resolve billing, coding, or collection issues.

Required Qualifications

• Require a minimum of six (6) years of health care experience and familiarity with charging practices and patient flow processes.
• Require a minimum of three (3) years of coding.
• Require Certified Professional Coder (CPC) or to be obtained within one (1) year of hire.

Preferred Qualifications

• Prefer demonstrated interpersonal and communication skills.
• Prefer working knowledge of commonly used computer applications.
• Prefer the ability to work with minimal supervision.
• Prefer demonstrated proficiency with medical terminology.
• Prefer demonstrated proficiency with specific charging and coding as it applies to Cardiology, General Surgery, Interventional Radiology, and/or Vascular Surgery.
• Prefer demonstrated knowledge of Medicare, Medicaid, and Commercial billing rules and coverage requirements.

Mandatory Education

HS EQ: High School Diploma, GED or Certificate

Preferred Education

AD: Associate's Degree

Employment Screening Requirements

As part of Sarasota Memorial Health Care System’s commitment to keeping people safe, all individuals providing care to vulnerable populations are required to undergo background screening through The Florida Care Provider Background Screening Clearinghouse. https://info.flclearinghouse.com/