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Company Name:
Mission Health
Approximate Salary:

Location:
ASHEVILLE, North Carolina
Country:
United States
Industry:
Position type:
Experience level:
Education level:

Charge Analyst - Revenue Integrity



Requisition ID 2017-31323
Division Mission Hospital
Position Type Regular Full-Time
Shift 8a-5p
Min Salary USD $46,300.00/Yr.
Mid Salary USD $63,700.00/Yr.
Max Salary USD $81,000.00/Yr.


Overview and Qualifications

JOB SUMMARY:

The Charge Analyst is responsible for analyzing and evaluating clinical documentation as it relates to reimbursement, resolving charge discrepancies, and performing special reviews upon request. The analyst abstracts clinical documentation for charge capture, resolves claims edits through the application of regulatory and payer specific regulations, and through the application of compliant ICD/CPT & HCPCS codes and modifiers.

This role will be specific to root cause analysis, process improvement implementations with correlation to financial impact and increased compliant billing. As well, analyzing health system operations with chart documentation to CDM/revenue mapping, stream lining clinical process and decreasing risk with improved billing compliance.

REQUIRED EDUCATION:

Bachelors' Degree in Nursing or an Allied Health Field, or 4 years of experience in Revenue Cycle related to Revenue Integrity.

REQUIRED LICENSE:

Coding Certification

PREFERRED LICENSE:

RN or other clinical license

REQUIRED EXPERIENCE:

4 years of experience in nursing, coding, or revenue cycle. Proficiency in Microsoft Excel and/or Access. Strong written and oral communication skills. Ability to explain the complexities of charge capture as it relates to coding, compliance and regulations, billing, payer contracting, reimbursement and finance. Analytical and detail oriented with the ability to use analytical tools to illustrate findings to clinical departments.Must have strong knowledge of CPT-4 and HCPCS, third party reimbursement methodologies and coverage requirements, and the revenue cycle process. Experience with Chargemaster maintenance or proficient knowledge of Chargemaster components are required.

PREFERRED EXPERIENCE:

Cerner Millennium, McKesson Healthquest, Allscripts, Craneware CMT.





PI100432245

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