[Remote] Charge Capture Analyst Sr., FT, Days, - Remote

Note: The job is a remote job and is open to candidates in USA. Prisma Health is dedicated to transforming healthcare for the communities it serves. The Charge Capture Analyst Sr. advises on charge code usage, monitors charge capture processes, and identifies opportunities for revenue enhancement while ensuring compliance with billing guidelines.ResponsibilitiesAdvises departmental revenue owners and staff on proper usage of charge codes with medical record analysisReviews and applies appropriate billing guidelines, state and federal regulations, and third-party billing rules/coverage. Identifies opportunities for capturing additional revenue in accordance with these guidelinesMonitors daily charge capture, revenue reconciliation, late charge trending, revenue trending, and work queues for assigned departmental revenue owners for compliant charge capture detail and documentation integrity. Identifies operational trends and benchmarksMonitors and works with Revenue Cycle and IT staff to resolve accounts that are not routing through the HB Revenue Cycle processValidates assigned principal diagnosis, all secondary diagnoses, principal procedures and all secondary procedures and CPT/HCPCs codesDevelops data requirements and works with analytics groups to complete internal charge review audits for assigned clinical departments to ensure that charges are generated in accordance with established policies and timeframesAssists supervisor in addressing questions from staff regarding coding and billing issues. Reviews escalated accounts and issuesParticipates in system conversions, implementations, and upgrades. Provides coding and reimbursement revenue of all proposed build. Completes assigned tasks in a timely manner. Engages in Epic Implementation “go-live charging hub” and participates in Revenue Management Task Force. Works with CDM, clinical departments, and I/S to ensure Epic and the system build are in place for charge entry and charge capture of provided servicesIdentifies and troubleshoots charge issues and opportunities for enhancement. Supports the RI team by optimizing processes to ensure services rendered are accurately reported and reimbursed while maintaining complianceReviews departmental charge capture processes for compliance and updates documented procedures as appropriateCoordinates with Department leadership, CDM team and related stakeholders on new procedures being performed to assure charges are set up appropriately and timely education is provided to those affectedPartner with vendors on optimization projects to complete data review, auditing, and testingPerforms other duties as assignedSkillsHigh School diploma or equivalent or post-high school diploma / highest degree earnedFive (5) years of healthcare revenue cycle experienceCertification in one of the following: LPN, RHIT, RHIA, CCS, CPC, or CBCSUnderstanding of OPPS, IPPS, ICD10 Coding, HCPCS/CPT Coding, revenue cycle processesAbility to interact with diverse groups at all levels of the organization by providing guidance and educationAbility to understand and apply National and Local Coverage Determination to complete assigned work queues and educate facility departments routinelyAssociate degree and four (4) years of healthcare revenue cycle experience including two (2) years of charge description master/revenue integrity experienceBachelor's Degree and two (2) years charge description master/revenue integrity experienceCompany OverviewPrisma Health is the largest not-for-profit health organization in South Carolina, serving more than 1.2 million patients annually. It was founded in 2017, and is headquartered in Greenville, South Carolina, USA, with a workforce of 10001+ employees. Its website is https://www.prismahealth.org.