Charge Integrity Analyst - HIM Revenue Integrity

UNC Health Care; Chapel Hill (NC); Remote; USD 45,000 - 65,000; Full time

Job summary

UNC Health Care in Chapel Hill, NC, is seeking a Revenue Integrity specialist to support the Charge Description Master (CDM) maintenance and revenue integrity efforts. You will assist with daily CDM tasks, data file coordination, and ensuring accurate charges across hospital departments.

The role requires experience in hospital billing, Medicare rules, and routine auditing of revenue reports. Remote work options are available, with standard full-time hours and a 40-hour work week.

Qualifications

• Bachelor's degree or equivalent; hospital experience preferred.
• Knowledge of Medicare billing and government regulations.
• Experience with Excel and data coordination in a hospital setting.

Responsibilities

• Analyzes and coordinates electronic data files with hospital departments and ensures missed charges are billed.
• Assists CDM Coordinator with maintenance of the charge master file and daily CDM validation.
• Audits revenue reports to ensure charge accuracy and coordinates corrections with departments.
• Reviews departmental charge capture procedures and conducts random audits for compliance.

Skills

Medicare billing knowledge

Hospital setting experience

Data analysis

Education

Bachelor's degree in an appropriate discipline

Associate's degree

High School diploma or GED

Tools

Excel

BPI

Job description

Description

Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve.

Summary:
Assists the Charge Master Coordinator in the maintenance of the CDM.

Responsibilities:

1. Analyzes and coordinates electronic data files with hospital departments and ensures missed charges are billed. Creates and maintains daily excel files. Coordinates rule issues with vendor and compiles new rules as necessary. Creates and submits quarterly reports to monitor the impact of missed revenue and the outcome of revenue posted. Submits recommendations and assists departments with corrective action plans.


2. Assists CDM Coordinator with maintenance of the charge master file. Performs daily validation of CDM maintenance. Performs general CDM maintenance as required. Processes/coordinates CDM projects/files given by manager. Assists with reconciliation of monthly CDM files in BPI.


3. Audits revenue reports to ensure charge accuracy. Reviews daily high dollar reports to ensure accuracy of charge amount and units billed. Coordinates activities with hospital departments to make charge corrections. Performs periodic audits to ensure appropriate charging of services based on medical documentation. Compiles reports and submit findings and recommendations to department managers.


4. Reviews departmental charge capture procedures. Yearly review procedures, ensures updates have been added. Maintains a copy of all procedures. Performs random department audits to ensure they are following their procedures.

Other Information

Education Requirements

• Bachelor's degree in an appropriate discipline (or equivalent combination of education, training and experience).

Licensure/Certification Requirements

• No licensure or certification required.

Professional Experience Requirements

• If a Bachelor's degree: Three (3) years of experience in a hospital setting with knowledge of Medicare billing and experience interpreting government regulations.


• If an Associate's degree: Seven (7) years of experience in a hospital setting with knowledge of Medicare billing and experience interpreting government regulations.


• If a High School diploma or GED: Eleven (11) years of experience in a hospital setting with knowledge of Medicare billing and experience interpreting government regulations.

Knowledge/Skills/and Abilities Requirements

Job Details

Legal Employer: NCHEALTH

Entity: Shared Services

Organization Unit: HIM Revenue Integrity

Work Type: Full Time

Standard Hours Per Week: 40.00

Salary Range:$21.62 - $31.07 per hour (Hiring Range)

Pay offers are determined by experience and internal equity

Work Assignment Type: Remote

Work Schedule: Day Job

Location of Job: US:NC:Chapel Hill

Exempt From Overtime: Exempt: No

This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job.

Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.

UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email [e-mail] if you need a reasonable accommodation to search and/or to apply for a career opportunity.