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Charge Integrity Analyst - HIM Revenue Integrity

Job ID: 404
Location: Chapel Hill, NC
Facility/Division: Shared Services
Status: Full Time
Shift: Day Job

Did you know UNC Health has Ranked #2 Most Trusted Healthcare Brand in the U.S.? The UNC Health brand was ranked as the #4 healthcare brand in the United States overall and the #2 most trusted healthcare brand, just after Johns Hopkins and before Mass General. Join our One-Great-Team!

Job Description

Description

Become part of an inclusive organization with over 30,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.

Assists the Charge Master Coordinator in the maintenance of the CDM.

Responsibilities:

1. Analyzes and coordinates electronic data files with hospital departments and ensures missed charges are billed. Creates and maintains daily excel files. Coordinates rule issues with vendor and compiles new rules as necessary. Creates and submits quarterly reports to monitor the impact of missed revenue and the outcome of revenue posted. Submits recommendations and assists departments with corrective action plans.

2. Assists CDM Coordinator with maintenance of the charge master file. Performs daily validation of CDM maintenance. Performs general CDM maintenance as required. Processes/coordinates CDM projects/files given by manager. Assists with reconciliation of monthly CDM files in BPI.
3. Audits revenue reports to ensure charge accuracy. Reviews daily high dollar reports to ensure accuracy of charge amount and units billed. Coordinates activities with hospital departments to make charge corrections. Performs periodic audits to ensure appropriate charging of services based on medical documentation. Compiles reports and submit findings and recommendations to department managers.
4. Reviews departmental charge capture procedures. Yearly review procedures, ensures updates have been added. Maintains a copy of all procedures. Performs random department audits to ensure they are following their procedures.

Requirements:

  • Bachelor's degree in an appropriate discipline (or equivalent combination of education, training and experience). 
  • If a Bachelor's degree: Three (3) years of experience in a hospital setting with knowledge of Medicare billing and experience interpreting government regulations. 
  • If an Associate's degree: Seven (7) years of experience in a hospital setting with knowledge of Medicare billing and experience interpreting government regulations. 
  • If a High School diploma or GED: Eleven (11) years of experience in a hospital setting with knowledge of Medicare billing and experience interpreting government regulations.

This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care. This is not a State employed position.
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Diversity Statement

The UNC Health System and the UNC School of Medicine are committed to valuing all people throughout our organization, regardless of background, lifestyle, and culture. A diverse and inclusive work environment for staff and culturally appropriate care for our patients, are essential to fulfilling our UNC Health vision of improving the health of all North Carolinians.

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