Revenue Integrity Charge Capture Analyst

Care New England; Warwick (RI); On-site; USD 65,000 - 95,000; Full time

Job summary

Care New England Health System is seeking a Revenue Integrity Charge Capture Specialist to ensure complete and accurate hospital and professional charges. You will monitor Epic Revenue Guardian reports, reconcile documentation against clinical activity, collaborate with clinical, coding, and operational teams, and support audit readiness and data reporting.

The role emphasizes compliance with CMS, Medicare, Medicaid, and payer guidelines, and requires strong attention to detail and communication

Qualifications

• High School diploma or GED; Associate's degree preferred.
• 3–5 years of experience in healthcare revenue cycle or charge capture.
• Strong knowledge of CPT, HCPCS, ICD-10 and their application to charge capture.
• Experience with Epic and Revenue Guardian reporting tools.
• Knowledge of CMS guidelines for Medicare/Medicaid and commercial payers.
• Excellent communication and analytical skills; detail oriented.

Responsibilities

• Review daily Epic Revenue Guardian reports and charge queues to correct charges.
• Validate charge capture processes and escalate systemic issues.
• Reconcile clinical documentation against charge activity to ensure accurate reflection.
• Collaborate with departments to clarify documentation discrepancies.
• Prepare daily, monthly, and ad hoc charge-related reports for leadership.

Skills

CPT coding

HCPCS coding

ICD-10 coding

Epic systems

Revenue Cycle knowledge

Excel

Data analysis

Communication skills

Attention to detail

Regulatory compliance

Education

High School diploma or GED

Associate's degree preferred

Tools

Epic Revenue Guardian

CDM knowledge

Job description

Care New England Health System is seeking a Revenue Integrity Charge Capture Specialist to ensure complete and accurate hospital and professional charges. You will monitor Epic Revenue Guardian reports, reconcile documentation against clinical activity, collaborate with clinical, coding, and operational teams, and support audit readiness and data reporting.

The role emphasizes compliance with CMS, Medicare, Medicaid, and payer guidelines, and requires strong attention to detail and communication