HCA Healthcare is a leading provider of healthcare services, and they are seeking a Revenue Integrity Clinical Charge Analyst RN to join their team. This role is responsible for reviewing patient charges, ensuring compliance with regulatory requirements, and providing education and training to facility staff on charging practices.
During the implementation of Meditech Expanse, is responsible for conversion related charging activity including but not limited to the mapping between Facility chargemaster and Meditech Expanse, performance of concurrent charge reviews to support the application of charges in Patient Accounting, reconciliation of charging based on swings in gross charges, monitoring to ensure charges are in compliance with HCA and regulatory requirements
During the implementation of Meditech Expanse, is responsible for constant communication with Facility Departments to address any identified charging issues prior to and post go-live. It is the responsibility of this position to ensure the Facility CFO will be kept up to date on progress related to charging activity
Consistently monitors charging practices across all facilities to include charge reviews, remedial training and education
Provide education and training to Facility Departments on the Charge Reconciliation reporting. Performs oversight and trending of reporting on a monthly basis
Works directly with Facility Departments by providing education to support HCA charging practices and regulatory requirements
Work directly with Facility Department Directors when standing up new service lines and/or procedures to develop chargemaster and charging practices utilizing approved standardization guidelines. Monitors charging practices upon implementation to provide specific guidance related to charging activity and provide support with education
Serves as chargemaster liaison to facilitate clinical department education on appropriate charging of CPT codes, Revenue Codes, and communicating with Ancillary Departments to resolve issues. Coordinates updates (activate, inactivate, modification) with Ancillary Departments as necessary
Reviews Regulatory and Compliance Communications, applicable CMS transmittals, and Local Coverage Decisions (LCD). Assess impact to Revenue Integrity procedures and implement changes as needed
Works on Charge Optimization projects when time permits and supports the Corporate RI team when necessary on special projects, charge reviews and patient audits
Qualification
Required
Registered Nurse Degree required
Minimum 1 year directly related Healthcare experience required
Preferred
Knowledge of CPT/HCPCS codes or experience in charging or performing charging validation reviews preferred
Benefits
Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
Free counseling services and resources for emotional, physical and financial wellbeing
401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
Employee Stock Purchase Plan with 10% off HCA Healthcare stock
Family support through fertility and family building benefits with Progyny and adoption assistance.
Referral services for child, elder and pet care, home and auto repair, event planning and more
Consumer discounts through Abenity and Consumer Discounts
Retirement readiness, rollover assistance services and preferred banking partnerships
Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
HCA Healthcare provides medical education and healthcare services in locally managed facilities. It is a sub-organization of North Florida Endoscopy Center.
