Revenue Integrity Charge Analyst

HCA Healthcare, Inc.; Richmond (VA); Remote; USD 30,000 - 45,000; Full time

Job summary

HCA Healthcare, Inc. is seeking a Revenue Integrity Charge Analyst to identify and rectify variations in daily hospital charges. You will monitor charge reports, coordinate with facilities and departments, and drive revenue opportunities across multiple departments.

The role requires vigilance in reviewing chargemaster processes, collaborating with leadership, and ensuring charging accuracy during system implementations. Travel up to 60% may be involved.

Qualifications

• Associate degree or higher required.
• Minimum 1 year directly related healthcare experience or coding experience.
• Knowledge of CPT/HCPCS codes; charging validation experience preferred.
• Healthcare certification/licensure such as RHIT, CCS, CPC or other AHIMA credentials can be accepted in lieu of degree with work experience.

Responsibilities

• Review daily charges during Meditech Expanse implementation to ensure total charge variations balance to revenue neutrality.
• Collaborate with revenue-generating department leaders pre- and post go-live to determine charging changes.
• Monitor daily ancillary charge reports to identify total charge and net revenue variations.
• Monitor revenue and usage reports to determine if charges are posted; identify loss of revenue.
• Perform root cause analysis on charge variations and coordinate with RI Clinical Analysts to resolve issues.
• Monitor charges for new service lines to ensure proper posting through systems to Patient Accounting.
• Reconcile charging swings in gross charges; ensure compliance with internal and regulatory standards.
• Engage in annual chargemaster updates to understand which charges are affected.

Skills

CPT/HCPCS knowledge

Charge review experience

Healthcare coding

Education

RHIT

CCS

CPC

Job description

Hourly Wage Estimate: $21.87 - $32.81 / hour

Learn More About The Benefits Offered For This Job.

The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range.

Do you want to join an organization that invests in you as a Revenue Integrity Charge Analyst? At Revenue Integrity, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.

This position will require up to 60% travel.

This Work from Home position requires that you live and will perform the duties of the position; within 60 miles of an HCA Healthcare Hospital (Our hospitals are located in the following states: FL, GA, ID, KS, KY, MO, NV, NH, NC, SC, TN, TX, UT, VA).

Job Summary And Qualifications

The Revenue Integrity Charge Analyst is responsible for determining and identifying variations in daily total charges across all hospital revenue generating departments. Monitors daily ancillary charge report to identify any potential charging issue related to system failures, system updates or other. Reviews denial trends for documentation and charging opportunities. Serves as a liaison between facilities Administration, Shared Services Center, and ancillary department directors regarding total charge variations and revenue opportunities.

What you will do in this role:

• During the implementation of Meditech Expanse, will review daily charges to ensure expected total charge variations balance to maintain revenue neutrality.
• During the implementation of Meditech Expanse, collaborates with revenue generating department leaders prior to and post go-live to determine what charging practices will change and where charges will move too.
• Monitors daily ancillary charge report and other data analytic tools to identify total charge and potential net revenue variations.
• Monitors revenue and usage reports outlining charges posted and non-usage of charge master lines to determine if revenue is being lost.
• Performs root cause analysis on identified total charge variations and collaborates with the Revenue Integrity Clinical Analysts and/or Facility Director to resolve identified issue.
• Monitors total charges associated with new service lines, procedures and/or systems to ensure charges are crossing through the various systems to Patient Accounting.
• Reconciles charging based on swings in gross charges, monitor changes are in compliance with standardized HCA and regulatory requirements.
• Consistently monitors charging practices that impact total charges across HCA facility.
• Engages in the annual chargemaster updates to gain an understanding of charges being impacted and how those changes will drive total charge variations.
• Works on Charge Optimization projects when time permits and support the Corporate RI team when necessary on special projects.

Qualifications that you will need:

• Associate Degree or above; or healthcare license/certification required.
• Minimum 1 year directly related Healthcare experience or coding experience required.
• Knowledge of CPT/HCPCS codes or experience in charging or performing charging validation reviews preferred.
• Healthcare certification/licensure such as RHIT, CCS, CCP,CPC or other recognized AHIMA certified coding credential, LPN, LVN, RT, PT, etc., can be accepted lieu of degree with work experience.

Benefits

Revenue Integrity, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, including free counseling and referral services
• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn More About Employee Benefits

Note: Eligibility for benefits may vary by location.

Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll, and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers, and their communities.

HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"Good people beget good people."- Dr. Thomas Frist, Sr.

HCA Healthcare Co-Founder

We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Revenue Integrity Charge Analyst opening. Qualified candidates will be contacted for interviews.

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.