Analyst, Charge – RIO

Role Overview

• Responsible for the data capture, analysis & reporting of data information to assist the Trinity Health leadership team achieve operational efficiency
• Responsible for auditing of department information, producing reports & suggesting improvements to processes
• Provides knowledge & expertise in the program, services & applications
• Researches, collects & analyzes information
• Identifies opportunities, develops solutions, & leads through resolution
• Collaborates on performance improvement activities as indicated by outcomes in program efficiency & patient experience
• Responsible for distribution of analytical reports
• Utilizes multiple system applications to perform analysis, create reports & develop educational materials
• Demonstrates knowledge of departmental processes & procedures & ability to readily acquire new knowledge
• Research & compiles information to support ad-hoc operational projects & initiatives
• Synthesizes & analyzes data & provides detailed summaries including graphical data presentations illustrating trends & recommending practical options or solutions while considering the impact on business strategy & supporting leadership decision making
• Maintains a Working Knowledge of applicable federal, state & local laws / regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other policies, procedures & guidelines in order to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices
• Responsible for ensuring accurate CPT and/or ICD-10 documentation for the patient billing process and educating colleagues and providers in accurately document services performed and using the appropriate codes representing those services
• Maintains documentation regarding charge capture processes
• Performs regular reviews of process adherence and identify missing charges
• Coordinates with key stakeholders regarding impacts of system change requests and upgrades to processes to ensure capture accuracy

Requirements

• High school diploma or GED
• Minimum of one (1) to two (2) years of relevant work experience in a hospital and/or Physician Practice environment and experience in revenue cycle, billing, coding and/or patient financial services
• Charge control/capture work experience strongly preferred
• Experience working with current medical terminology, data entry, supply chain processes, hospital and/or Medical Group practice operations; hospital and/or Physician group practice revenue cycle front-end functions such as patient registration that may impact charge related errors; and billing and regulatory guidelines related to charging and other revenue cycle processes and ability to assist clinical departments and/or physician practices with changes to their charging practices based on guidelines.
• Additional Qualifications (nice to have) Licensure/Certification: RHIA, RHIT, CCS, CPC/COC, AAPC or other coding credentials and/or Licensed Vocational Nurse/Licensed Practical Nurse licensure preferred
• CHC (Healthcare Compliance Certification) preferred
• CHRI certification/membership strongly preferred