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UNC Health · 1 hour ago

Charge Integrity Analyst - HIM Revenue Integrity

United States

Full-time

Remote

Mid Level

$21.40/hr - $30.76/hr

3+ years exp

UNC Health is an inclusive organization with a mission to improve the health and well-being of the communities it serves. The Charge Integrity Analyst assists the Charge Master Coordinator in maintaining the Charge Description Master (CDM) and ensures accurate billing by analyzing electronic data files and coordinating with hospital departments.

Addiction TreatmentHealth CareHealth DiagnosticsHospitalNon ProfitWellness

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

Qualification

Medicare billingHospital experienceData analysisExcel proficiencyReport compilationCharge accuracy auditingProcedure maintenance

Required

Bachelor's degree in an appropriate discipline (or equivalent combination of education, training and experience)

If a Bachelor's degree: Three (3) years of experience in a hospital setting with knowledge of Medicare billing and experience interpreting government regulations

If an Associate's degree: Seven (7) years of experience in a hospital setting with knowledge of Medicare billing and experience interpreting government regulations

If a High School diploma or GED: Eleven (11) years of experience in a hospital setting with knowledge of Medicare billing and experience interpreting government regulations