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Charge Integrity Analyst - HIM Revenue Integrity
Jobs via Dice, Chapel Hill, North Carolina, United States, 27517
Charge Integrity Analyst - HIM Revenue Integrity
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Summary: Assists the Charge Master Coordinator in the maintenance of the CDM.
Responsibilities
Analyzes and coordinates electronic data files with hospital departments and ensures missed charges are billed. Creates and maintains daily excel files. Coordinates rule issues with vendor and compiles new rules as necessary. Creates and submits quarterly reports to monitor the impact of missed revenue and the outcome of revenue posted. Submits recommendations and assists departments with corrective action plans.
Assists CDM Coordinator with maintenance of the charge master file. Performs daily validation of CDM maintenance. Performs general CDM maintenance as required. Processes/coordinates CDM projects/files given by manager. Assists with reconciliation of monthly CDM files in BPI.
Audits revenue reports to ensure charge accuracy. Reviews daily high dollar reports to ensure accuracy of charge amount and units billed. Coordinates activities with hospital departments to make charge corrections. Performs periodic audits to ensure appropriate charging of services based on medical documentation. Compiles reports and submit findings and recommendations to department managers.
Reviews departmental charge capture procedures. Yearly review procedures, ensures updates have been added. Maintains a copy of all procedures. Performs random department audits to ensure they are following their procedures.
Qualifications
Education: Bachelor's degree in an appropriate discipline (or equivalent combination of education, training and experience).
Professional Experience: Three (3) years of experience in a hospital setting with knowledge of Medicare billing and experience interpreting government regulations.
Experience for Associate's degree: Seven (7) years. For High School diploma or GED: Eleven (11) years. (All with knowledge of Medicare billing and interpreting government regulations.)
Job Details
Legal Employer: NCHEALTH
Entity: Shared Services
Organization Unit: HIM Revenue Integrity
Work Type: Full Time
Standard Hours Per Week: 40.00
Salary Range: $21.40 - $30.76 per hour (Hiring Range)
Work Assignment Type: Remote
Work Schedule: Day Job
Location of Job: US:NC:Chapel Hill
Exempt From Overtime: Exempt: No
This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully‑owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job.
Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email jane[dot]doe@example.com if you need a reasonable accommodation to search and/or to apply for a career opportunity.
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Summary: Assists the Charge Master Coordinator in the maintenance of the CDM.
Responsibilities
Analyzes and coordinates electronic data files with hospital departments and ensures missed charges are billed. Creates and maintains daily excel files. Coordinates rule issues with vendor and compiles new rules as necessary. Creates and submits quarterly reports to monitor the impact of missed revenue and the outcome of revenue posted. Submits recommendations and assists departments with corrective action plans.
Assists CDM Coordinator with maintenance of the charge master file. Performs daily validation of CDM maintenance. Performs general CDM maintenance as required. Processes/coordinates CDM projects/files given by manager. Assists with reconciliation of monthly CDM files in BPI.
Audits revenue reports to ensure charge accuracy. Reviews daily high dollar reports to ensure accuracy of charge amount and units billed. Coordinates activities with hospital departments to make charge corrections. Performs periodic audits to ensure appropriate charging of services based on medical documentation. Compiles reports and submit findings and recommendations to department managers.
Reviews departmental charge capture procedures. Yearly review procedures, ensures updates have been added. Maintains a copy of all procedures. Performs random department audits to ensure they are following their procedures.
Qualifications
Education: Bachelor's degree in an appropriate discipline (or equivalent combination of education, training and experience).
Professional Experience: Three (3) years of experience in a hospital setting with knowledge of Medicare billing and experience interpreting government regulations.
Experience for Associate's degree: Seven (7) years. For High School diploma or GED: Eleven (11) years. (All with knowledge of Medicare billing and interpreting government regulations.)
Job Details
Legal Employer: NCHEALTH
Entity: Shared Services
Organization Unit: HIM Revenue Integrity
Work Type: Full Time
Standard Hours Per Week: 40.00
Salary Range: $21.40 - $30.76 per hour (Hiring Range)
Work Assignment Type: Remote
Work Schedule: Day Job
Location of Job: US:NC:Chapel Hill
Exempt From Overtime: Exempt: No
This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully‑owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job.
Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email jane[dot]doe@example.com if you need a reasonable accommodation to search and/or to apply for a career opportunity.
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