Senior Charge Analyst Revenue Cycle

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Job Description Summary:

The Senior Charge Analyst serves as liaison among clinical operations and revenue cycle by ensuring appropriate workflows and controls are established to drive accurate and timely charge capture in compliance with OhioHealth policies.

In this role, the Senior Charge Analyst works to identify areas of opportunity for over/under charging and root cause correction by leveraging knowledge of clinical operations, documentation, coding, and charge capture.

Responsibilities And Duties:

Serve as primary care site specific resource to clinical and operational teams on daily revenue cycle functions including charge posting, charge reconciliation, charge lag and charge capture opportunities, as identified.
Actively engage with clinical and operational leaders to identify and bridge gaps in clinical and system workflows; ensure appropriate controls are established to drive accurate and timely charge capture.
Assist clinical departments to effectively document services and understand the
relationship of supporting clinical documentation, medical necessity, coding, and charge capture for services and procedures provided.
Perform daily account reviews identified with potential missing charges utilizing Revenue Guardian, a front-end Epic solution.
Conduct annual multi-disciplinary charge audits, including review of supporting clinical documentation and billing data; summarize audit findings and prepare reporting material for discussion with clinical, operational, internal audit, compliance, risk and finance teams.
Develop education material and facilitate training sessions related to clinical documentation, coding and charge capture processes in accordance with OhioHealth policies and procedures.
Contribute to refining and building a comprehensive Hospital Revenue Integrity Program by maintaining current regulatory standards reflective of industry best practice.
The major duties/responsibilities and essential functions listed above are not intended to be all-inclusive of the duties, responsibilities, and essential functions to be performed by the Senior Charge Analyst. The Senior Charge Analyst is expected to perform all other duties as assigned by the Manager of Hospital Revenue Integrity.

Minimum Qualifications:

Bachelor's Degree (Required)RN - Registered Nurse - Ohio Board of Nursing

Additional Job Description:

Advanced knowledge of hospital operations and Revenue Cycle functions and interdependencies from the point of scheduling to collection of the final bill.

Working knowledge of reimbursement methodologies in an integrated, progressive healthcare delivery system.

 

Strong audit experience.

Work Shift:

Day

Scheduled Weekly Hours :

40

Department

Corporate Revenue Integrity

Join us!
... if your passion is to work in a caring environment
... if you believe that learning is a life-long process
... if you strive for excellence and want to be among the best in the healthcare industry

Equal Employment Opportunity

OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment