HCA Healthcare · 3 hours ago
Revenue Integrity Clinical Charge Analyst RN
United States
Full-time
Remote
Entry Level
1+ years expHCA Healthcare is a leading provider of healthcare services, and they are seeking a Revenue Integrity Clinical Charge Analyst RN to join their team. This role involves reviewing patient charges, coordinating educational in-services, and serving as a liaison for charging issues while ensuring compliance with healthcare regulations.
BiotechnologyHealth CareHospitalMedicalPrimary and Urgent Care
Responsibilities
Determining the appropriateness of patient charges by reviewing the medical record, facility protocol, corporate standards and other applicable documentation
Providing charge review results and developing and coordinating educational in-services for facility staff related to charging/billing issues
Reviewing denial trends for documentation and charging opportunities
Serving as a liaison between facilities Administration, Shared Services Center, and ancillary department directors regarding charging issues, clinical documentation issues and revenue opportunities
During the implementation of Meditech Expanse, responsible for conversion related charging activity including but not limited to the mapping between Facility chargemaster and Meditech Expanse, performance of concurrent charge reviews to support the application of charges in Patient Accounting, reconciliation of charging based on swings in gross charges, monitoring to ensure charges are in compliance with HCA and regulatory requirements
During the implementation of Meditech Expanse, responsible for constant communication with Facility Departments to address any identified charging issues prior to and post go-live. It is the responsibility of this position to ensure the Facility CFO will be kept up to date on progress related to charging activity
Consistently monitoring charging practices across all facilities to include charge reviews, remedial training and education
Providing education and training to Facility Departments on the Charge Reconciliation reporting. Performing oversight and trending of reporting on a monthly basis
Working directly with Facility Departments by providing education to support HCA charging practices and regulatory requirements
Working directly with Facility Department Directors when standing up new service lines and/or procedures to develop chargemaster and charging practices utilizing approved standardization guidelines. Monitoring charging practices upon implementation to provide specific guidance related to charging activity and provide support with education
Serving as chargemaster liaison to facilitate clinical department education on appropriate charging of CPT codes, Revenue Codes, and communicating with Ancillary Departments to resolve issues. Coordinating updates (activate, inactivate, modification) with Ancillary Departments as necessary
Reviewing Regulatory and Compliance Communications, applicable CMS transmittals, and Local Coverage Decisions (LCD). Assessing impact to Revenue Integrity procedures and implementing changes as needed
Working on Charge Optimization projects when time permits and supporting the Corporate RI team when necessary on special projects, charge reviews and patient audits
Qualification
Required
Registered Nurse Degree required
Minimum 1 year directly related Healthcare experience required
Preferred
Knowledge of CPT/HCPCS codes or experience in charging or performing charging validation reviews
Benefits
Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
Free counseling services and resources for emotional, physical and financial wellbeing
401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
Employee Stock Purchase Plan with 10% off HCA Healthcare stock
Family support through fertility and family building benefits with Progyny and adoption assistance.
Referral services for child, elder and pet care, home and auto repair, event planning and more
Consumer discounts through Abenity and Consumer Discounts
Retirement readiness, rollover assistance services and preferred banking partnerships
Education assistance (tuition, student loan, certification support, dependent scholarships)
Colleague recognition program
Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Company
HCA Healthcare
HCA Healthcare provides medical education and healthcare services in locally managed facilities. It is a sub-organization of North Florida Endoscopy Center.
10001+ employees
Funding
Current Stage
Public CompanyTotal Funding
$8.51B2025-10-31Post Ipo Debt· $3.25B
2025-02-24Post Ipo Debt· $5.25B
2014-06-25Post Ipo Debt· $3.2M
Leadership Team
Nicholas Manning
Chief Executive Officer
Nick Lane
Regional Vice President Human Resources
Recent News
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