Charge Integrity Anlst 1

Baylor Scott & White Health; Boise (ID); On-site; USD 45,000 - 60,000; Full time

Job summary

Baylor Scott & White Health in Boise, ID is seeking a Charge Integrity Analyst I to perform moderate complexity charge editing and resolve charge errors across departments. You will monitor claim edits, DNB work queues, and support billing in the patient accounting system.

Responsibilities include maintaining knowledge of charging processes, collaborating with clinical and billing teams, and ensuring compliant documentation. Night/weekend hours may be required.

Qualifications

• Education requirement: High School Diploma or GED.
• Experience: Less than 1 year in healthcare billing or revenue cycle.
• Knowledge of hospital systems and charge entry processes is preferred.

Responsibilities

• Serve as an internal resource to resolve charge errors across departments.
• Manage claim edits and Discharged Not Billed (DNB) work queues.
• Review professional/technical charge entries and related edits.

Skills

Revenue cycle

Communication

Hospital billing

MS Office

Charge entry

Epic

Education

High School Diploma or GED

Tools

Epic

MS Office

Access

Job description

About Us

Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott & White is the largest not-for-profit healthcare system in Texas that empowers you to live well.

Our Core Values are:

• We serve faithfully by doing what's right with a joyful heart.

• We never settle by constantly striving for better.

• We are in it together by supporting one another and those we serve.

• We make an impact by taking initiative and delivering exceptional experience.

Benefits

Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include:

• Immediate eligibility for health and welfare benefits

• 401(k) savings plan with dollar-for-dollar match up to 5%

• Tuition Reimbursement

• PTO accrual beginning Day 1

Note: Benefits may vary based upon position type and/or level.

Job Summary

The Charge Integrity Analyst I performs duties of moderate complexity, judgment, and scope. The associate must know professional and technical charge editing processes.

Essential Functions of the Role

• Serves as an internal resource to clinical departments, revenue cycle operations, and other departments as needed to resolve charge errors.

• Accountable for claim edit and Discharged Not Billed (DNB) work queues in the patient accounting system.

• Accountable for professional charge review, claim edits, and follow-up edits in the patient accounting system.

• Maintains current knowledge of all professional and technical charge entry systems in the clinical and hospital billing systems.

• Maintains a basic to moderate knowledge of ordering processes, and how various systems flow for generation of charges for billing.

• Processes compliance audit corrections in the professional and/or technical charge review environment. Will report all potential compliance findings to management.

• Assists in the resolution of billing edits and denials.

• Acts as a liaison between management, billing, HIM, and clinical departments. Resolves errors related to professional or technical charge practices.

• Researches clinical documentation in the medical record to validate that charging activity is appropriate. Completes thorough and accurate documentation.

Key Success Factors

• Working knowledge of hospital systems utilized in revenue cycle functions including registration, charge entry, order entry, and billing.

• Working knowledge of medical terminology.

• Ability to establish and maintain working relationships.

• Ability to communicate effectively and professionally with physicians, both in writing and orally; courtesy; initiative; resourcefulness.

• Excellent customer service skills.

• Proficient with MS Office applications.

• Must be willing to work varying hours according to work requirements, including nights and weekends.

• Proficient typing (35 wpm minimum)/keyboarding skills.

• Ability to multi-task.

• Must have revenue cycle experience in a healthcare setting.

• Experience with Epic is required.

• Collections experience

• Front-end and back end revenue cycle knowledge is essential.

• Access service experience is preferred.

Belonging Statement

We believe that all people should feel welcomed, valued and supported.

QUALIFICATIONS

• EDUCATION - H.S. Diploma/GED Equivalent

• EXPERIENCE - Less than 1 Year of Experience

As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.