Sr Revenue Integrity Clinical Charge Analyst

Hourly Wage Estimate: $28.58 - $42.88 / hour
Learn more about the benefits offered for this job.

The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range.

Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Sr Revenue Integrity Clinical Charge Analyst with Parallon you can be a part of an organization that is devoted to giving back!

Job Summary and Qualifications

The Senior Revenue Integrity Clinical Charge Specialist (RN or ARRT) plays a critical role in ensuring Cardiovascular and Interventional Radiology (CVIR) services are charged and coded correctly. This position is a specialized senior medical coder with RN or ARRT clinical expertise in the Cath Lab, IR, and EP service lines. The Senior RI Clinical Charge Specialist (RN or AART) educates specialty physicians and facility departments on coding and billing practices. Consults with IT&S, E.H.R. Specialists, and CDM Departments to ensure accurate CDM, Meditech, and Hemodynamic systems are set up appropriately in all clinical modules. Consults with Division and Corporate Leadership on charging and coding trends to identify financial opportunities. ​  

What you will do in this role: 

• Assigns/Codes Charges CPCS/CPT Coding based on medical record documentation for Cath Lab/IR/EP service lines  
• Coordinates with facility/departments to obtain missing medical record documentation as needed  
• Coordinates with department leaders to identify trends and address issues related to charge capture  
• Ability to understand/apply National and Local Coverage Determination and educate facility departments routinely  
• Performs in-depth reviews and verifies the appropriateness of patient charges and Chargemaster (CDM) assignments  
• Supports the Revenue Integrity team by optimizing processes to ensure services rendered are accurately reported and reimbursed while maintaining compliance  
• Provides focused education to clinical and coding stakeholders as needed  
• Participates to ensure CDM/system updates result in appropriate reimbursement 
• Monitors any applicable Key Performance Indicators (KPIs) to identify new RI initiatives that are applicable to their assigned facility  

Qualifications: 

• Registered nursing Associates, Bachelors or Diploma required or Licensed Radiologic Technologist (ARRT) certification 
• Minimum 1 year healthcare experience in an acute care hospital  
• Minimum 1 year coding/HIM experience  
• Minimum 3 years healthcare experience (hospital operations, clinical operations, etc.)  
• Must possess an active Registered Nurse/other advanced nursing license (compact license for all states accepted) or active Radiologic Technologist certification (ARRT)  
• RHIA or RHIT or CPC or COC or CCS, or CIRCC certifications required (must obtain certification within one year of start date)  

Benefits

Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, including free counseling and referral services
• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll, and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers, and their communities.

HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

Be a part of an organization that invests in you! We are reviewing applications for our Sr Revenue Integrity Clinical Charge Analyst opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.