CASY-MSCCN Jobs

JOB SUMMARY

The Charge Integrity Analyst I performs duties of moderate complexity, judgment, and scope. The associate is accountable for maintaining a working knowledge of professional and technical charge editing processes.

ESSENTIAL FUNCTIONS OF THE ROLE

• Serves as an internal resource to clinical departments, revenue cycle operations, and other departments as needed to resolve charge errors.

• Accountable for claim edit and Discharged Not Billed (DNB) work queues in the patient accounting system.

• Accountable for professional charge review, claim edits, and follow-up edits in the patient accounting system.

• Maintains current knowledge of all professional and technical charge entry systems in the clinical and hospital billing systems.

• Maintains a basic to moderate knowledge of ordering processes, and how various systems flow for generation of charges for billing.

• Processes compliance audit corrections in the professional and/or technical charge review environment. Will report all potential compliance findings to management.

• Assists in the resolution of billing edits and denials.

• Acts as a liaison between management, billing, HIM, and clinical departments to resolve errors related to professional or technical charge practices.

• Researches clinical documentation in the medical record to validate that charging activity is appropriate. Completes thorough and accurate documentation.

KEY SUCCESS FACTORS

• Working knowledge of hospital systems utilized in revenue cycle functions including registration, charge entry, order entry, and billing.

• Working knowledge of medical terminology.

• Ability to establish and maintain working relationships.

• Ability to communicate effectively and professionally with physicians, both in writing and orally; courtesy; initiative; resourcefulness.

• Excellent customer service skills.

• Proficient with MS Office applications.

• Must be willing to work varying hours according to work requirements, including nights and weekends.

• Proficient typing (35 wpm minimum)/keyboarding skills.

• Ability to multi-task.

BENEFITS

Our competitive benefits package includes the following

• Immediate eligibility for health and welfare benefits

• 401(k) savings plan with dollar-for-dollar match up to 5%

• Tuition Reimbursement

• PTO accrual beginning Day 1

Note: Benefits may vary based upon position type and/or level

QUALIFICATIONS

• EDUCATION - H.S. Diploma/GED Equivalent

• EXPERIENCE - Less than 1 Year of Experience

As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.