Senior Revenue Integrity Charge Analyst

Title: Senior Revenue Integrity Charge Analyst

Location: Bradenton, FL, United States

schedule Full-time • Work From Home

business_center Case Management

Job ID: 4055675

Introduction

Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Senior Revenue Integrity Charge Specialist with Revenue Integrity you can be a part of an organization that is devoted to giving back!

This is a work from home position.

Schedule: Monday-Friday Day Shift

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 medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
• Free counseling services and resources for emotional, physical and financial wellbeing
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock
• Family support through fertility and family building benefits with Progyny and adoption assistance.
• Referral services for child, elder and pet care, home and auto repair, event planning and more
• Consumer discounts through Abenity and Consumer Discounts
• Retirement readiness, rollover assistance services and preferred banking partnerships
• Education assistance (tuition, student loan, certification support, dependent scholarships)
• Colleague recognition program
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Note: Eligibility for benefits may vary by location.

Would you like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our colleagues? Join the Revenue Integrity family! We will give you the tools and resources you need to succeed in our organization. We are looking for an enthusiastic Senior Revenue Integrity Charge Specialist to help us reach our goals. Unlock your potential!

Job Summary and Qualifications

The Senior Revenue Integrity for Cath Lab and Interventional Radiology Coding Specialist plays a critical role in ensuring Cardiovascular and Interventional Radiology (CVIR) services are charged and coded correctly. This position is a specialized senior medical coder in the Cath Lab, IR, and EP service lines. The Senior RI Charge Specialist educates specialty physicians and facility departments on coding and billing practices. Consults with IT&S, E.H.R. Specialists, and CDM Departments to ensure accurate CDM, Meditech, and Hemodynamic systems are set up appropriately in all clinical modules. Consults with Division and Corporate Leadership on charging and coding trends to identify financial opportunities. 

What you will do in this role:

• Assigns/Codes Charges CPCS/CPT Coding based on medical record documentation for Cath Lab/IR/EP service lines 
• Coordinates with facility/departments to obtain missing medical record documentation as needed 
• Coordinates with department leaders to identify trends and address issues related to charge capture 
• Ability to understand/apply National and Local Coverage Determination and educate facility departments routinely 
• Performs in-depth reviews and verifies the appropriateness of patient charges and Chargemaster (CDM) assignments 
• Supports the Revenue Integrity team by optimizing processes to ensure services rendered are accurately reported and reimbursed while maintaining compliance 

What qualifications you will need:

• Associates Degree Required. Equivalent work experience may substitute education requirements. 
• Minimum 1 year coding/HIM experience
• Minimum 3 years healthcare experience (hospital operations, clinical operations, etc.) 
• RHIA or RHIT or CPC or COC or CCS, or CIRCC certifications required (must obtain certification within one year of start date) 

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.