[Remote] Revenue Integrity Charge Analyst

Note: The job is a remote job and is open to candidates in USA. HCA Healthcare is hiring a Revenue Integrity Charge Analyst to identify and investigate variations in hospital charges and potential revenue loss. The role monitors charge and usage data, works with facility and revenue integrity teams to resolve issues, and supports system implementations, compliance reviews, and charge optimization projects.

Responsibilities

• 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
• Reviews Regulatory and Compliance Communications, applicable CMS transmittals, and Local Coverage Decisions (LCD)
• Works on Charge Optimization projects when time permits and support the Corporate RI team when necessary on special projects

Skills

• Associate Degree or above; or healthcare license/certification required
• Minimum 1 year directly related Healthcare experience or coding experience required
• 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
• Knowledge of CPT/HCPCS codes or experience in charging or performing charging validation reviews preferred

Benefits

• Work from Home position; you must live and perform the duties of the position within 60 miles of an HCA Healthcare hospital in the listed states (FL, GA, ID, KS, KY, MO, NV, NH, NC, SC, TN, TX, UT, VA).
• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, including free counseling and referral services
• Paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• 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
• Financial wellbeing counseling
• Tuition assistance
• Student loan assistance
• Certification support
• Dependent scholarships
• Partnership with Galen College of Nursing
• Fertility and family building benefits
• Adoption assistance
• Life insurance
• Supplemental health protection plans
• Auto and home insurance
• Legal counseling
• Identity theft protection
• Consumer discounts
• Eligibility for benefits may vary by location.

Company Overview