[Remote] Analyst Charge - RIO (Remote)
Note: The job is a remote job and is open to candidates in USA. Trinity Health is a healthcare organization committed to delivering compassionate care. They are seeking a Revenue Integrity Charge Analyst who will be responsible for data capture, analysis, and reporting to enhance operational efficiency within the organization. This role includes auditing department information, producing reports, and providing insights to improve processes while ensuring accurate documentation for the patient billing process.ResponsibilitiesResponsible for the data capture, analysis & reporting of data information to assist the Trinity Health leadership team achieve operational efficiencyResponsible for auditing of department information, producing reports & suggesting improvements to processesProvides knowledge & expertise in the program, services & applicationsResponsible for ensuring accurate CPT and/or ICD-10 documentation for the patient billing process and educating colleagues and providers in accurately document services performed and using the appropriate codes representing those servicesMaintains documentation regarding charge capture processesPerforms regular reviews of process adherence and identify missing chargesCoordinates with key stakeholders regarding impacts of system change requests and upgrades to processes to ensure capture accuracyProvides oversight of charge reconciliation processes for assigned departments; ensuring daily and appropriate monthly reconciliations are occurringMay perform or provide βat elbowβ guidance to clinical departmental daily reconciliation processes including ensuring supply charges are appropriate captured (may include implants), identify duplicate charges and initiate appropriate communications when there are documentation and/or charge deficiencies or charge errorsPerforms charge entry/capture functions, charge approvals, and/or quality charge reviews; including but not limited to, appending modifiers, and checking clinical documentationProvides feedback to intra-departmental Revenue Integrity colleagues including areas of opportunityReviews and responds to various quality reports, including reports that identify missing charges, duplicate charges, late charges, etcMaintain and update required reference logs and other reporting toolsMay create and present information for decision making purposesSupports other stakeholders with denial related charge reviews including analysis of clinical documentation, root cause analysis and education to the responsible ancillary departmentSkillsHigh school diploma or GEDMinimum of one (1) to two (2) years of relevant work experience in a hospital and/or Physician Practice environment and experience in revenue cycle, billing, coding and/or patient financial servicesCharge control/capture work experience strongly preferredExperience working with current medical terminology, data entry, supply chain processes, hospital and/or Medical Group practice operations; hospital and/or Physician group practice revenue cycle front-end functions such as patient registration that may impact charge related errors; and billing and regulatory guidelines related to charging and other revenue cycle processes and ability to assist clinical departments and/or physician practices with changes to their charging practices based on guidelinesLicensure/Certification: RHIA, RHIT, CCS, CPC/COC, AAPC or other coding credentials and/or Licensed Vocational Nurse/Licensed Practical Nurse licensure preferredCHC (Healthcare Compliance Certification) preferredCHRI certification/membership strongly preferredCompany OverviewTrinity Health is one of the largest multi-institutional Catholic health care delivery systems in the nation. It was founded in 2000, and is headquartered in Livonia, Michigan, USA, with a workforce of 10001+ employees. Its website is http://www.trinity-health.org.