Charge Analyst I

Department

Revenue Cycle

Job Summary

Responsible for accurate and timely posting of department (OR, Cath Lab, EP Lab, Interventional Radiology, Observation, etc.) charges, under the direction and supervision of management and indirectly under the guidance of the Revenue Cycle division. Provides compliant charging practices for all payors by reviewing the medical record for appropriate clinical documentation that supports the accuracy of charges. Interacts with clinical staff to educate and improve clinical documentation that supports the care provided and charges posted. Independently resolves charging area's Correct Coding Initiative (CCI) edits. Serves as a resource and educator to physicians, physician office staff, and department staff regarding appropriate application and compliance with National and Local Coverage Determinations (NCD) (LCD). Assists Revenue Cycle staff in providing information to support appeals or audits. Acts as a leader, mentor, and trainer to all appropriate physicians and staff for ICD-10 education and documentation requirements. Performs other reimbursement assignments to resolve billing, coding, or collection issues.

Required Qualifications

• Require a minimum of six (6) years of health care experience and familiarity with charging practices and patient flow processes. - Require a minimum of three (3) years of coding.
• Require Certified Professional Coder (CPC) or to be obtained within one (1) year of hire.

Preferred Qualifications

• Prefer demonstrated interpersonal and communication skills.
• Prefer working knowledge of commonly used computer applications.
• Prefer the ability to work with minimal supervision.
• Prefer demonstrated proficiency with medical terminology.
• Prefer demonstrated proficiency with specific charging and coding as it applies to Cardiology, General Surgery, Interventional Radiology, and/or Vascular Surgery.
• Prefer demonstrated knowledge of Medicare, Medicaid, and Commercial billing rules and coverage requirements.

Mandatory Education

HS EQ: High School Diploma, GED or Certificate

Preferred Education

AD: Associate's Degree

Required Licenses and Certifications

Preferred Licenses and Certifications

Employment Screening Requirements

As part of Sarasota Memorial Health Care System's commitment to keeping people safe, all individuals providing care to vulnerable populations are required to undergo background screening through The Florida Care Provider Background Screening Clearinghouse. https://info.flclearinghouse.com/