Charge Capture Analyst

Children's Wisconsin; West Allis (WI); Remote; USD 50,000 - 80,000; Full time

Job summary

An established industry player is seeking a dedicated analyst to join their team, focusing on charge capture and revenue integrity within a nationally recognized health system. This fully remote position offers the opportunity to make a significant impact on the health and well-being of children. The role involves collaborating with various departments to ensure accurate billing practices and compliance, while also providing education and support to clinical teams. If you are passionate about healthcare and want to contribute to a mission-driven organization, this is the perfect opportunity for you.

Qualifications

• 4+ years of healthcare experience in Chargemaster, charge capture, billing or coding.
• Ability to analyze medical records and Epic reports for charge changes.

Responsibilities

• Responsible for charge capture efforts to ensure accurate billing.
• Develop charging education and perform audits for compliance.

Skills

Healthcare Experience

Data Analysis

Time Management

Organizational Skills

Regulatory Knowledge

Education

Associates or Bachelor's Degree in Finance

Health Administration

Tools

Epic

CPT

HCPCS

ICD-10-CM

Job description

At Children’s Wisconsin, we believe kids deserve the best.

Children’s Wisconsin is a nationally recognized health system dedicated solely to the health and well-being of children. We provide primary care, specialty care, urgent care, emergency care, community health services, foster and adoption services, child and family counseling, child advocacy services and family resource centers. Our reputation draws patients and families from around the country.

We offer a wide variety of rewarding career opportunities and are seeking individuals dedicated to helping us achieve our vision of the healthiest kids in the country. If you want to work for an organization that makes a difference for children and families, and encourages you to be at your best every day, please apply today.

• Reporting to the Chargemaster Manager, the analyst position is responsible for charge capture (revenue integrity) efforts that ensure clinical departments are charging accurately and in a timely manner.
• The analyst will develop relevant charging education and perform periodic charging audits for assigned service lines to confirm charging compliance.
• They will collaborate with other Revenue Cycle departments to evaluate trends in charging errors and denials and develop solutions to prevent these issues.
• The analyst will stay up to date on regulatory changes and communicate changes to key stakeholders.
• Remote work opportunity.

Qualifications:

• Associates or bachelor's degree in Finance, Health Administration or other related discipline.
• Requires 4 years of healthcare experience working in Chargemaster (CDM), charge capture, billing or coding. Ability to analyze data, including medical records and Epic reports, to determine if charge changes or department education is needed.
• Willing to be flexible and able to work in a fast-paced work environment that requires excellent time management and organizational skills.
• Normal office environment where there is no reasonable potential for exposure to blood or other high risk body fluids.
• Certifications may include CPC, COC, CCS, CRIP, CHRI or other applicable certifications preferred. Chargemaster or Charge Capture experience preferred.
• Experience with ambulatory service lines preferred
• General knowledge in Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), Revenue Codes, UB-04, 1500, and ICD-10-CM highly preferred.
• Exhibits guiding behaviors that reflect Children's values and support our mission and vision.

*Fully remote position

Hours: Days, flexible

Children's Wisconsin is an equal opportunity / affirmative action employer. We are committed to creating a diverse and inclusive environment for all employees. We treat everyone with dignity, respect, and fairness. We do not discriminate against any person on the basis of race, color, religion, sex, gender, gender identity and/or expression, sexual orientation, national origin, age, disability, veteran status, or any other status or condition protected by the law.