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The Charge Integrity Analyst is tasked with working out of Epic work queues to identify missing charges or modifiers. You will be asked to perform root-cause analysis to identify the source of these errors, then provide full-circle communication related to your findings. The successful candidate will be comfortable working in Epic, have a strong coding background, and a high attention to details. The ideal candidate will have a strong understanding of Revenue Cycle, experience handling claims, and be able to work independently.
Job Responsibility:
Managing, coordinating, and implementing charge capture initiatives and processes to improve revenue management and revenue protection
Discover the root cause of revenue issues and develop corrective action plans and provide education on those plans
Working closely with assigned departments and ensuring work queues are being addressed and offering support, guidance, and education as needed
Requirements:
High School Diploma/GED
3-5 Years Experience with CPT/HCPCS Codes or Charging Required
3-5 Years Coding Experience Required
1-2 years Third Party Billing and Payment Methodologies Experience Required
1-2 years Knowledge of Federal and State Regulations Required
Nice to have:
Bachelor's Degree
Epic HB/PB Revenue Integrity Experience
Certified Coding Specialist (CCS)
Certified Compensation Professional (CCP)
Registered Health Information Technician (RHIT)
Certified Professional Coder (CPC)
Registered Health Information Administrator (RHIA)
Certified Medical Administrative Specialist (CMAS)