Charge Capture Analyst - Revenue Integrity_QHS (Full-Time, 40 Hours, Day )

Responsibilities I. JOB

• Monitors charge capture and charge reconciliation outcomes.
• Reviews, develops, implements, evaluates, and revises charge guidelines to optimize revenue management; effectively implements recommendations and monitors results.
• Identifies charge compliance issues and root causes of noncompliance. Ensures correction of issues and develops changes to workflow processes to ensure that issues are prevented in the future.
• Ensures operations and functions are in compliance with regulatory requirements and policies and procedures of QHS.
• Prepares and presents financial reports for executive management review. II. TYPICAL PHYSICAL DEMANDS: A.

• Seeing. Hearing. Speaking. Finger dexterity. B. MANUAL MATERIAL HANDLING:
• Infrequent: N/A
• Occasional: N/A
• Frequent: N/A
• Constant: N/A C. NON-MANUAL MATERIAL HANDLING:
• Infrequent: N/A
• Occasional: Stand. Walk. Stoop/Bend. Reach: shoulder level.
• Frequent: N/A
• Constant: Sit. III. TYPICAL WORKING CONDITIONS:
• Not substantially subjected to adverse environmental conditions. IV.

A.

• Associate's degree required, preferably in business administration, finance or health care administration; or two (2) years of experience in revenue cycle or finance; or certification as a Certified Coding Specialist (CCS) or Outpatient Physician Coder (CPC) may be substituted for the education requirement. B. CERTIFICATION AND

• Coding certification preferred. C.

• In addition to the education requirement, three (3) years of experience in revenue cycle, preferably in revenue integrity, coding, charge capture or billing compliance in a comparable organization.
• Experience to demonstrate the following: o Working knowledge of charge master principles and the relationship to coding, billing and compliance in a hospital setting. o Knowledge of requirements specific to government-funded health care program and third-party payer reimbursement. o Proficiency with computer-based hospital billing/records applications and Microsoft Office applications, i.e. Word and Excel.
• Prior experience with Epic systems preferred. Equal Employment Opportunity Equal Opportunity Employer / Disability / Vet