Charge Integrity Analyst 1

in Temple, TX

Charge Integrity Analyst 1 Job

Job Description Job Attributes+

  • Job ID

    24005651

  • Job Location

    Temple, TX 76502, US

  • Job Category

    Shared Services

  • Career Area

    Other

  • Job Type

    Full Time

  • Schedule

    40 hours per week

  • Shift

    Day Job

JOB SUMMARY

The Charge Integrity Analyst I performs duties of moderate complexity, judgment, and scope. The associate is accountable for maintaining a working knowledge of professional and technical charge editing processes.

ESSENTIAL FUNCTIONS OF THE ROLE

  • Serves as an internal resource to clinical departments, revenue cycle operations, and other departments as needed to resolve charge errors.
  • Accountable for claim edit and Discharged Not Billed (DNB) work queues in the patient accounting system.
  • Accountable for professional charge review, claim edits, and follow-up edits in the patient accounting system.
  • Maintains current knowledge of all professional and technical charge entry systems in the clinical and hospital billing systems.
  • Maintains a basic to moderate knowledge of ordering processes, and how various systems flow for generation of charges for billing.
  • Processes compliance audit corrections in the professional and/or technical charge review environment. Will report all potential compliance findings to management.
  • Assists in the resolution of billing edits and denials.
  • Acts as a liaison between management, billing, HIM, and clinical departments to resolve errors related to professional or technical charge practices.
  • Researches clinical documentation in the medical record to validate that charging activity is appropriate. Completes thorough and accurate documentation.

KEY SUCCESS FACTORS

  • Working knowledge of hospital systems utilized in revenue cycle functions including registration, charge entry, order entry, and billing.
  • Working knowledge of medical terminology.
  • Ability to establish and maintain working relationships.
  • Ability to communicate effectively and professionally with physicians, both in writing and orally; courtesy; initiative; resourcefulness.
  • Excellent customer service skills.
  • Proficient with MS Office applications.
  • Must be willing to work varying hours according to work requirements, including nights and weekends.
  • Proficient typing (35 wpm minimum)/keyboarding skills.
  • Ability to multi-task.

BENEFITS

Our competitive benefits package includes the following

  • Immediate eligibility for health and welfare benefits
  • 401(k) savings plan with dollar-for-dollar match up to 5%
  • Tuition Reimbursement
  • PTO accrual beginning Day 1

Note: Benefits may vary based upon position type and/or level

QUALIFICATIONS

  • EDUCATION - H.S. Diploma/GED Equivalent
  • EXPERIENCE - Less than 1 Year of Experience

Job Skills

  • courtesy
  • documentation
  • clinical documentation
  • order entry
  • customer service
  • medical terminology
  • billing systems
  • editing

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