Medical Billing Charge Integrity Analyst, Revenue Integrity, Remote

Job Summary

Baptist Health is looking to add a Medical Billing Charge Integrity Analyst to our Revenue integrity team at Baptist Metro Square. This is a Full-Time, Remote, Days opportunity.

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.

As a Charge Integrity Analyst, you will be responsible for:

• 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.

• Evaluated existing workflows for efficiency and effectiveness to recommend changes as needed.

• Discovered revenue issue root cause and recommend corrective action

  plans.

• Assists with the implementation of new systems or procedures related to charging integrity activities.

• Reviews denied charges by investigating reasons for denial and taking appropriate corrective actions.

• Communicates with other departments to resolve customer inquiries regarding billing issues.

• Analyzes and solves DNB edits and errors in multiple work queues in EPIC

Remote Candidate must reside in the following approved states: Alabama, Florida, Georgia, Idaho, Indiana, Kentucky, Louisiana, Mississippi, North Carolina, Ohio, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Virginia, West virginia, Wyoming.

This Charge Integrity Analyst will be located at Baptist Metro Square. If you are interested in this Full-Time Days opportunity, please apply now.

Education Required

High School Diploma/GED

Education Preferred

Bachelor's Degree

Experience

• 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
• Epic HB/PB Revenue Integrity Experience Preferred

• Experience reviewing medical records and utilize VitalWare for appropriate assignment of CPT codes, revenue codes, modifiers, MUE edits, and any-related devices pertaining to procedures performed. Preferred

• Experience resolving and coordinating revenue cycle issues (registration, coding, billing, customer service, and chargemaster) quickly and consistently with goal to continually improve the revenue cycle.

License and Certification

• Certified Coding Specialist (CCS) Preferred 
• Certified Compensation Professional (CCP) Preferred 
• Registered Health Information Technician (RHIT) Preferred 
• Certified Professional Coder (CPC) Preferred 
• Registered Health Information Administrator (RHIA) Preferred 
• Certified Medical Administrative Specialist (CMAS) Preferred 
• Licensed Registered Nurse Preferred Or Licensed Practical Nurse Preferred

Location

Location Overview

Baptist Health, founded in 1955, is North Florida’s most comprehensive health care system and the area’s only non-profit, mission-driven, locally governed health care provider. Baptist Health has over 200 points of care throughout the Northeast Florida region, including our six award-winning hospitals: Baptist Medical Center Jacksonville, Wolfson Children’s Hospital, Baptist Medical Center Beaches, Baptist Medical Center Clay, Baptist Medical Center Nassau and Baptist Medical Center South. The most preferred health care system in the region, Baptist Health also includes 57 primary care offices, as well as home health, behavioral health, pastoral care, rehabilitation services, occupational health and urgent care.