Charge Capture Analyst *hybrid*

WakeMed; Raleigh (NC); On-site; USD 60,000 - 90,000; Full time

Job summary

WakeMed is seeking a Charge Capture Analyst to enhance revenue cycle metrics through analytics, audits, and system improvements. You will maintain Chargemaster files, review CPT and CMS updates, and collaborate with Revenue Cycle, Finance, and clinical teams to ensure accurate revenue capture.

The role emphasizes modeling, testing, and reporting to prevent billing errors and improve processes. Ideal candidates have 4+ years in accounting/finance with coding or 2+ years in accounting/finance

Qualifications

• 4 years accounting/finance coding experience or 2 years accounting/finance billing experience.
• High School Diploma required; Associate's or Bachelor's degree preferred.
• Knowledge of Chargemaster, CPT coding, CMS updates, and revenue cycle processes.
• EPIC certification is preferred.

Responsibilities

• Analyze analytics to identify opportunities, problem resolutions, and process improvements for revenue cycle metrics.
• Maintain revenue integrity of Chargemaster files, fee schedules, and charge capture through annual updates and audits.
• Develop and document routine billing system tests, builds, and enhancements to prevent billing errors.
• Review CPT coding and CMS updates, disseminate information to clinical and staff.
• Collaborate with Revenue Cycle, Finance and clinical departments to optimize revenue capture through modeling and trend analysis.
• Ensure Chargemaster codes are accurate and current; reconcile revenue across departments.

Skills

Analytics

Accounting/Finance

Billing knowledge

Education

Bachelor's Degree

Associate's Degree

High School Diploma

Tools

EPIC

Chargemaster management

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.

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