ScionHealth is HIRING for a Revenue Integrity Charge Review Analyst to support our Billing and Coding Department

This is a REMOTE position with a preference of CST time zone.

Job Summary

The Revenue Integrity Charge Review Analyst, reporting to Scion Corporate Coding Leadership, is responsible for determining and identifying variations in daily total charges across all hospital revenue generating departmentsMonitors daily ancillary charge report to identify any potential charging issue related to system failures, system updates or otherReviews denial trends for documentation and charging opportunitiesServes as a liaison between facilities Administration, Coding, CBO, and ancillary department directors regarding total charge variations and revenue opportunities

Essential Functions

Conduct reviews of charging, coding, and clinical documentation, collaborating with LeadershipMaintains constant communication with Facility Departments to address identified charging issues. This role ensures the Facility CFO is regularly updated on the progress of charging activitiesPerform charge edit reviews by verifying billing data against appropriate clinical documentation and make appropriate corrections. Based on audit findings, present findings and recommendations to Leadership, as well as facility ancillary department leaders, to enhance documentation accuracy, charging workflows, and overall complianceCollaborates with Facility Department Leaders in helping to develop chargemaster and charging practices for new service lines or procedures, following approved standardization guidelines. Monitors charging practices post-implementation to offer targeted guidance and supportConsistently monitors charging practices across all facilities through charge reviews, remedial training, and educationReview regulatory communications, applicable CMS transmittals, and Local Coverage Determinations (LCDs), assess their impact on Revenue Integrity procedures, and implement necessary changesMaintain up-to-date billing knowledge through webcasts and conference calls, ensuring continuous educationPossess working knowledge of Medicare guidance, inpatient/outpatient status, and observation requirementsParticipates in charge optimization projects and supports the Corporate Revenue Integrity team on special projects, charge capture reviews, and patient audits as neededProvide consistent, accurate, and timely coding of outpatient medical records for appropriate billing and/or data collection.Collaborates with the team to maintain and exceed DNFC goals.All other duties as assigned

To perform this job, an individual must perform each essential function satisfactorily with or withoutreasonable accommodation

ScionHealth is HIRING for a Revenue Integrity Charge Review Analyst to support our Billing and Coding Department

This is a REMOTE position with a preference of CST time zone.

Job Summary

The Revenue Integrity Charge Review Analyst, reporting to Scion Corporate Coding Leadership, is responsible for determining and identifying variations in daily total charges across all hospital revenue generating departmentsMonitors daily ancillary charge report to identify any potential charging issue related to system failures, system updates or otherReviews denial trends for documentation and charging opportunitiesServes as a liaison between facilities Administration, Coding, CBO, and ancillary department directors regarding total charge variations and revenue opportunities

Essential Functions

Conduct reviews of charging, coding, and clinical documentation, collaborating with LeadershipMaintains constant communication with Facility Departments to address identified charging issues. This role ensures the Facility CFO is regularly updated on the progress of charging activitiesPerform charge edit reviews by verifying billing data against appropriate clinical documentation and make appropriate corrections. Based on audit findings, present findings and recommendations to Leadership, as well as facility ancillary department leaders, to enhance documentation accuracy, charging workflows, and overall complianceCollaborates with Facility Department Leaders in helping to develop chargemaster and charging practices for new service lines or procedures, following approved standardization guidelines. Monitors charging practices post-implementation to offer targeted guidance and supportConsistently monitors charging practices across all facilities through charge reviews, remedial training, and educationReview regulatory communications, applicable CMS transmittals, and Local Coverage Determinations (LCDs), assess their impact on Revenue Integrity procedures, and implement necessary changesMaintain up-to-date billing knowledge through webcasts and conference calls, ensuring continuous educationPossess working knowledge of Medicare guidance, inpatient/outpatient status, and observation requirementsParticipates in charge optimization projects and supports the Corporate Revenue Integrity team on special projects, charge capture reviews, and patient audits as neededProvide consistent, accurate, and timely coding of outpatient medical records for appropriate billing and/or data collection.Collaborates with the team to maintain and exceed DNFC goals.All other duties as assigned

To perform this job, an individual must perform each essential function satisfactorily with or withoutreasonable accommodation

Education

AssociateDegree or above preferred; or healthcare license/certification required

License/Certification

Healthcare certification/licensure such as AHIMA or AAPC certified credential, can be accepted in lieu of degree with work experience.

Experience

Medhost, MediTech, 3M, SSI, FinThrive, Other Coding ToolsPreferred Minimum 1 year directly relatedHealthcare experience or coding experiencerequiredKnowledge of CPT/HCPCS codes or experience in charging or performing charging validation reviews preferred.

Education

AssociateDegree or above preferred; or healthcare license/certification required

License/Certification

Healthcare certification/licensure such as AHIMA or AAPC certified credential, can be accepted in lieu of degree with work experience.

Experience

Medhost, MediTech, 3M, SSI, FinThrive, Other Coding ToolsPreferred Minimum 1 year directly relatedHealthcare experience or coding experiencerequiredKnowledge of CPT/HCPCS codes or experience in charging or performing charging validation reviews preferred.