[Hiring] Revenue Integrity Charge Analyst @Trinity Health

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Role Description

Responsible for the data capture, analysis & reporting of data information to assist the Trinity Health leadership team achieve operational efficiency.

• Auditing of department information, producing reports & suggesting improvements to processes.
• Provides knowledge & expertise in the program, services & applications.

Essential Functions

• Knows, understands, incorporates & demonstrates Trinity Health Mission, Values, Vision, Actions & Promise in behaviors, practices & decisions.
• Researches, collects & analyzes information.
• Identifies opportunities, develops solutions, & leads through resolution.
• Collaborates on performance improvement activities as indicated by outcomes in program efficiency & patient experience.
• Responsible for distribution of analytical reports.

Process Focus

• Utilizes multiple system applications to perform analysis, create reports & develop educational materials.
• Incorporates basic knowledge of Trinity Health policies, practices & processes to ensure quality, confidentiality & safety are prioritized.
• Demonstrates knowledge of departmental processes & procedures & ability to readily acquire new knowledge.

Data Management & Analysis

• Research & compiles information to support ad-hoc operational projects & initiatives.
• Synthesizes & analyzes data & provides detailed summaries including graphical data presentations illustrating trends & recommending practical options or solutions.
• Leverages program & operational data & measurements to define & demonstrate progress, ROI & impacts.
• Maintains a working knowledge of applicable federal, state & local laws/regulations, Trinity Health Integrity & Compliance Program & Code of Conduct.

Functional Role

• Ensures accurate CPT and/or ICD-10 documentation for the patient billing process.
• Educates colleagues and providers in accurately documenting services performed and using appropriate codes.
• Maintains documentation regarding charge capture processes.
• Performs regular reviews of process adherence and identifies missing charges.
• Coordinates with key stakeholders regarding impacts of system change requests and upgrades to processes.
• Provides oversight of charge reconciliation processes for assigned departments.
• May perform or provide “at elbow” guidance to clinical departmental daily reconciliation processes.
• Performs charge entry/capture functions, charge approvals, and/or quality charge reviews.
• Reviews and responds to various quality reports, including reports that identify missing charges, duplicate charges, late charges, etc.
• Supports other stakeholders with denial related charge reviews.

Qualifications

• High school diploma or GED
• Minimum of one (1) to two (2) years of relevant work experience in a hospital and/or Physician Practice environment.
• Experience in revenue cycle, billing, coding and/or patient financial services.
• Charge control/capture work experience strongly preferred.
• Experience working with current medical terminology, data entry, supply chain processes, hospital and/or Medical Group practice operations.

Requirements

• Licensure/Certification: RHIA, RHIT, CCS, CPC/COC, AAPC or other coding credentials preferred.
• CHC (Healthcare Compliance Certification) preferred.
• CHRI certification/membership strongly preferred.

Benefits

• Rooted in our Mission and Core Values, we honor the dignity of every person.
• Recognize the unique perspectives, experiences, and talents each colleague brings.
• We are an Equal Opportunity Employer.