The Systems Charge Analyst will support Revenue Cycle with implementing billing system updates needed to ensure revenue integrity, and maintain compliant billing.
The Analyst will assist with root cause analysis for charging, coding, billing, denials related issues and work collaboratively with operations and IT to implement EPIC build fixes.
Will support the Revenue Cycle Operations Department through the identification, quantification and execution of special projects identifying areas of increased net revenue opportunities related to charging.
Will provide reimbursement analysis, assists with bill problem resolution, and provide coverage guidelines for billable services to reduce or prevent future claim denials.
This will be accomplished by reviewing current practices as they relate to system interfacing, account audits, contractual language, and any other system or department that may impact the financial health of this institution.
Minimum Qualifications :
1. Bachelor’s degree or equivalent in Economics / Statistics, Finance, Business Management, Finance, Healthcare administration or a related field.
2. Three to five years of related health care administration / financial or revenue cycle analysis experience.
3. Experience in financial analysis, budgeting, business and process analysis, working knowledge of third party reimbursement is required.
4. Strong analytical skills and excellent communication skills required.
5. Knowledge of managed care terminologies and ability to interpret hospital bills, explanation of benefits, and medical records.
6. Strong computer and systems application skills. Strong knowledge of IT systems such i.e. Crystal Reports preferred. Experience in MS Access preferred.
7. Resolute Hospital Billing Administration, Charge Router and / or Charge Master Epic Applications Certifications, preferred
8. Knowledge of coding guidelines, both ICD-10-CM and CPT-4 is preferred.
9. Hospital Charge Master experience and / or billing or coding experience focused on the CDM is preferred.
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