Senior Charge Review Analyst

University Health; San Antonio (TX); On-site; USD 75,000 - 95,000; Full time

Job summary

University Health is seeking a Senior Charge Review Analyst to monitor charge capture across clinical charging services and act as a bridge between clinical, financial, and IT teams in the Epic environment. You will lead department rounding, workflow reviews, training, issue identification, root cause analysis, and system updates to ensure accurate charge entry and daily reconciliation.

The role requires strong analytical and interpersonal skills, experience with Epic, and collaboration with

Qualifications

• Bachelor's degree in accounting, finance or healthcare.
• Minimum two years of Revenue Integrity/Charge Capture experience.
• Knowledge of medical terminology and coding.
• Experience with Epic hospital information systems.
• Epic HB Resolute certification preferred.
• Experience with payer reimbursement methodologies preferred.
• Experience analyzing Medicare/Medicaid communications preferred.

Responsibilities

• Monitor charge capture across clinical charging services lines.
• Oversee charging practices and liaise with clinical and IT leaders.
• Perform daily department charge review and reconciliation.
• Provide training and educational support to Revenue Integrity team.
• Organize meetings to resolve charging-related issues and respond to concerns.

Skills

Critical thinking

Interpersonal skills

Communication skills

Revenue integrity

Education

Bachelor's Degree in Accounting, Finance, or Healthcare

Epic Certification HB Resolute

Tools

Epic EHR

HB Resolute

MedAssets

MS Office Suite

3M

Job description

The Charge Review Analyst - Senior is responsible for monitoring charge capture across all clinical charging services lines at UH. The Senior Analyst, as part of a team, oversees the charging practices of UniversityHealth and maintains direct relationships with clinical department leaders, nursing staff, technologists, I.T. staff, Billing, Coding, Compliance, CDM, and other Revenue Integrity team members to act as the bridge between clinical, financial, and I.T. staff working within the Epic environment. This position performs and assists with activities related to department rounding, workflow review, departmental education/training, issue identification, root cause analysis, and system updates needed for complete and accurate clinical department charge entry and ensures department charge review and reconciliation is performed on a daily basis. Furthermore, the Senior Analyst is responsible for ensuring the highest quality service is provided to our “customers”, which includes clinical department leaders, nursing staff, co-workers, hospital administration, and other revenue cycle colleagues. This is in addition to providing training and educational support to Revenue Integrity Charge Analyst team. This position is responsible for organizing and scheduling meetings with appropriate personnel as needed to resolve charging-related issues, and to provide prompt responses to issues, concerns, and/or complaints. The Analyst ensures high quality work and productivity in their performance. This position requires strong critical thinking and interpersonal skills, an established track record of working within the Epic EHR system, and a proven understanding of communication, technical, and revenue cycle skills.

EDUCATION/EXPERIENCE

• Bachelor's Degree in Accounting, Finance, or Healthcare is required.
• Minimum two (2) years experience with hospital Revenue Integrity, Charge Capture, Nurse Audit, Denials, and/or Clinical Documentation Improvement required.
• Knowledge of medical terminology and coding required.
• Experience working within the Epic hospital information systems environment required.
• Experience with PC applications such as MS Office Suite (Excel, PowerPoint, Word, Access), MedAssets, Hospital Information Systems (Epic, 3M) required.
• Epic Certification in HB Resolute highly preferred.
• Experience with payer reimbursement methodologies (Commercial and Government) preferred.
• Experience with analyzing Medicare fiscal intermediary bulletins and Center for Medicare Services memorandums preferred.
• Experience participating in a revenue integrity program preferred.