Your job is more than a jobUnder the direction of the Manager of Revenue Integrity, the Charge Review Analyst is responsible for ensuring the accuracy and integrity of charge capture processes across various clinical departments. The role involves reviewing charges, coding, and documentation to ensure compliance with payer requirements, optimizing revenue, and minimizing billing errors. This position collaborates with clinical, billing, and coding teams to resolve discrepancies and identify opportunities for charge capture improvement. This position received general oversight by the Charge Review Coordinator.
Your Everyday- Collaborate with Charge review Coordinators and Charge Review Specialist to monitor charge capture functions across all LCMC entities.
- Conducts thorough reviews of patient charges to ensure services provided are accurately captured and billed.
- Verify the correct usage of procedure codes (CPT/HCPCS) and diagnosis codes (ICD-10) to ensure charges align with clinical documentation.
- Identify and investigate charge discrepancies, missing charges, or incorrect coding, and work with relevant departments to resolve issues.
- Serve as a resource for charge integrity specialists and departments on charge-related inquiries, providing support and guidance on proper charge capture practices.
- Provide feedback and training to clinical departments on charge capture issues and regulatory changes that impact billing and coding with oversite by the charge review coordinator.
- Educate on best practices for documentation and charge entry to enhance revenue capture and compliance.
- Prepare and present reports on charge review findings, highlighting areas of improvement and compliance risks.
- Monitor key performance indicators (KPIs) related to charge capture accuracy and timeliness. Create action plans when KPI's are above target.
- Evaluates current charging and coding structures and processes in clinical departments to ensure appropriate capture and reporting of revenue and compliance with government and third-party payer requirements.
- Completes focused charge review assessments for assigned clinical departments and/or service lines to ensure that charges are generated in accordance with established policies and timeframes.
- Monitors EPIC Revenue Integrity Dashboard(s) and Ri assigned work queues to assist in completion and timeliness of completion meeting Revenue Integrity Department standards.
- Provide support for assigned cost centers within service lines and in collaboration with your team, performs reviews related to Charge Description Master (CDM) integrity.
- Assesses the accuracy of all charging vehicles, including clinical systems and dictionaries, charge capture navigators, and other charge components.
- Analyzes changes to coding and billing rules and regulations by utilizing appropriate reference materials, internet sources, seminars and publications.
- Train and assist in daily resolution of revenue integrity edits that are holding patient claims from billing, by reviewing the medical records and other applicable documentation.
- Performs miscellaneous duties as assigned.
- Completes and/or attends mandatory training and education sessions within approved organizational guidelines and timeframes.
- Comfortable in presenting to and interacting with levels of hospital management and with clinical leaders.
- Excellent organizational and project management skills.
- Strong time management, attention to detail, and follow through.
- Well-developed research skills.
- Interacts professionally with coworkers and customers to represent the Revenue Integrity Department positively.
- Work effectively as a team contributor on all assignments.
- Works independently while understanding the necessity for communicating and coordinating work efforts with other employees and organizations.
- Delivers positive patient experience, where applicable.
The Must-HavesMinimum:EXPERIENCE QUALIFICATIONS:- Minimum: 3 years' experience in the hospital setting, healthcare industry, revenue cycle or coding with a focus in one or more of the following areas: charge integrity; charge reconciliation; charge compliance; charge auditing; CDM management.
- Preferred: EPIC HB/PB experience
EDUCATION QUALIFICATIONS:- Minimum: High school diploma or GED with equivalent combination of certification and experience is required.
- Preferred: Associate's degree in healthcare administration, Health Information or related field is preferred.
LICENSES AND CERTIFICATIONS:- Applicable professional certification through AHIMA (RHIA, RHIT, CCS), RN, LPN or AAPC (COC, CPC) or Epic Certified
SKILLS AND ABILITIES:- Advanced knowledge of revenue cycle processes and hospital/medical billing to include CDM, UB, RAs and 1500.
- Advanced knowledge of code data sets to include CPT, HCPCS, and ICD 10.
- Advanced knowledge of NCCI edits, and Medicare LCD/NCDs.
- Comprehensive understanding of reimbursement theories to include DRG, OPPS, HCC and managed care.
- Ability to review, analyze and interpret managed care contracts, billing guidelines, and state and federal regulations
- Due to its service focus, this position requires strong interpersonal and communication skills, well-developed analytic and organizational skills, critical -thinking and the ability to meet deadlines while influencing, but not directly managing the work of others.
- Computer skills; MS Office including Word, PowerPoint, Excel and Outlook; Windows operating system and Internet.
WORK SHIFT: Days (United States of America)
LCMC Health is a community. Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Celebrating authenticity, originality, equity, inclusion and a little come on in attitude is the foundation of LCMC Health's culture of everyday extraordinary
Your extras- Deliver healthcare with heart.
- Give people a reason to smile.
- Put a little love in your work.
- Be honest and real, but with compassion.
- Bring some lagniappe into everything you do.
- Forget one-size-fits-all, think one-of-a-kind care.
- See opportunities, not problems - it's all about perspective.
- Cheerlead ideas, differences, and each other.
- Love what makes you, you - because we do
You are welcome here. LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary.
Simple things make the difference. 1. To get started, take your time to fully and accurately complete the application for employment. Incomplete applications get bogged down and are often eliminated due to missing information. 2. To ensure quality care and service, we may use information on your application to verify your previous employment and background. 3. To keep our career applications up-to-date, applications are inactive after 6 months and, therefore, require a new application for employment to be completed. 4. To expedite the hiring process, proof of citizenship or immigration status will be required to verify your lawful right to work in the United States.