Charge Integrity Analyst
Company: University Hospital New Jersey
Location: Newark
Posted on: May 7, 2024
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Job Description:
Responsibilities The Charge Integrity Analyst is responsible for
the management of various operational charge capture functions. The
analyst will serve as the primary liaison between the revenue cycle
and clinical leaders. Responsibilities of the position will include
assisting clinical leadership and staff with charge reconciliation,
charge reporting, and troubleshooting. This position is responsible
for educating revenue center departments on best practices to
review and reconcile their daily charge capture processes. This
includes documentation, reporting, training, and implementation of
charge practices. In addition, this position will develop, produce,
validate, and distribute standard charge related reports and other
report as needed. This individual will work closely with a vast
array of clinical, financial, and IT leadership to ensure that
charging, charge reporting, and reconciliation processes function
smoothly. Qualifications Bachelor' Degree in Accounting, Finance,
Business Administration or a related field. Three (3) years of
experience within revenue cycle required. Experience above minimum
requirement may be considered in lieu of education. Charge
Integrity/Chargemaster certification preferred. Knowledge of
revenue cycle processes and hospital/medical billing to include
CDM, UB, RAs and 1500 required. Knowledge of code data sets to
include CPT, HCPCS, and ICD-10 required. Must have an understanding
of reimbursement theories to include DRG, OPPS, and managed care.
Must have knowledge of health care compliance and understands
charge master set up and maintenance requirements including EPIC
build. EPIC certification required or obtained within six (6)
months of hire. CPC, CCS, CHRI, CRCR, and/or existing EPIC
certification in appropriate module is preferred. Must be
articulate in communicating processes and documentation
requirements for accurate and compliant charge capture. Working
knowledge of government and commercial payer requirements for
accurate and compliant charging and billing of hospital inpatient,
outpatient, surgical and ancillary services a plus. Understanding
of hospital revenue cycle operations (registration, charge capture,
health information management, claims, payment posting). Experience
with Microsoft Office (Outlook, Word, Excel, Power point, Access)
required. Knowledge of medical terminology preferred.
Keywords: University Hospital New Jersey, Stamford , Charge Integrity Analyst, Professions , Newark, Connecticut
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