Charge Capture Analyst *hybrid*

WakeMed Health & Hospitals; Raleigh (NC); On-site; USD 65,000 - 90,000; Full time

Job summary

WakeMed Health & Hospitals is seeking a Charge Capture Analyst to drive analytics that improve revenue cycle metrics. The role maintains Chargemaster integrity, reviews CPT and CMS updates, and supports testing and enhancements to prevent billing errors.

Ideal candidates have 4+ years in accounting/finance with coding or 2 years in billing, and EPIC certification is a plus; a degree is preferred.

Qualifications

• 4+ years Accounting/Finance with coding required, or 2 years Accounting/Finance with billing experience.
• Experience with Chargemaster maintenance and CMS updates.
• Associate or Bachelor's degree preferred.

Responsibilities

• Identify opportunities to improve revenue cycle metrics through analytics.
• Audit Chargemaster files and fee schedules for accuracy.
• Develop tests and models to prevent billing errors.
• Collaborate with Revenue Cycle, Finance and clinical departments to ensure proper revenue capture.

Education

High School Diploma or Equivalent

Associate's Degree

Bachelor's Degree

Tools

EPIC

Job description

Overview

The Charge Capture Analyst is responsible for the analytics to identify opportunities, problem resolutions, process improvements, and system changes to enhance revenue cycle metrics. Maintains revenue integrity of Chargemaster files, fee schedules, and charge capture through annual updates, periodic audits, and ongoing reviews. Serves as a resource in developing and documenting routine custom billing system tests, builds, and enhancements that will improve maintenance and/or prevent billing errors. Reviews Current Procedural Terminology coding and CMS updates, and disseminates information to the clinical departments and other appropriate staff. Works with Revenue Cycle, Finance, and clinical departments to analyze coding and billing processes to ensure accurate and optimal revenue capture by developing trending, modeling, and other assessment tools. Works with coding personnel to ensure the codes in the Chargemaster are accurate and current. Works with clinical departments to ensure proper revenue reconciliation.

Department Description

Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www.wakemed.org.

EOE

Licensure

EPIC Certification in Area of Responsibility Preferred

Education

High School Diploma or Equivalent Required Associate's Degree Preferred Bachelor's Degree Preferred

Experience

4 Years Accounting/Finance - Coding Required - Or 2 Years Accounting/Finance - Billing Required