Charge Integrity Analyst

#hireNRHS

Compensation / Benefits

• $21.15-$34.55/hr based on previous work experience
• Benefits include medical, dental, vision, short-term disability, long-term disability, life insurance, paid time off (PTO), paid holidays, tuition reimbursement, scholarship opportunities, retirement plans, free parking, and opportunities for advancement

Job Summary

• Performs required daily account productivity, including accurate documentation and reporting of activity.
• Uses appropriate analytic applications and support tools to abstract information for financial analysis to support in all areas of reimbursement, including trend analysis. Familiarity with CDM auditing and maintenance tools.
• Maintains current knowledge of the Charge Description Master, clinical charging procedures, and related systems for the production of a bill/claim.
• Works as a team member with other healers in Centralized Charging to ensure charge review assessments are done in a timely manner and is able to report on activities to team lead on a weekly basis.

Education

• Required: High School Diploma, Two year degree in coding, Healthcare billing, or nursing.
• Preferred: Advanced coding certification (Certified Coding Specialists (CCS - Issued by American Health Information Mgmt. Assoc - AHIMA), Certified Professional Coder (CPC - Issued by American Academy of Professional Coders AAPC), Registered Health Information Technologist (RHIT - Issued by AHIMA), or Registered Health Information Administrator (RHIA - Issued by AHIMA.)

Experience

• A minimum of two years of medical auditing, coding, and/or related experience, with demonstrated proficiency in ICD-9, CPT-4, HCPCS, Level II, and Revenue Code assignments required.
• Experience in Medicare, Medicaid, third-party billing, and compliance and reimbursement regulations required.
• Experience with electronic billing process for medical claims required.
• Two years of experience in Chargemaster Management (CDM) preferred.

(Above requirements can be met by the equivalent combination of education and experience).

Licensure/Certification

• Advanced coding certification (Certified Coding Specialists (CCS - Issued by American Health Information Mgmt. Assoc - AHIMA, CPC, CPC-H, RHIT, or RHIA) preferred.

Other Knowledge/Skills/Abilities

• Excel/MS Word skills in word processing and spreadsheets