Senior Charge Capture Analyst

UI Health Care's Department of Finance and Accounting is seeking a Senior Charge Capture Analyst.  

The Senior Charge Capture Analyst conducts audit activities to ensure appropriate revenue management, charge capture, claims production, coding integrity, and provider code assignment. This position provides education to applicable leadership, implementation support and serves as a liaison to UI Health Care staff as it relates to charge capture issues. As part of the Revenue Integrity Department, reporting directly to the Revenue Integrity Director, this position has collaborative relationships with Revenue Cycle. Conducts special projects to facilitate revenue management as required.

Hybrid within Iowa: This position is eligible for a combination of on-campus and remote work. Remote work must be performed at a location within the state of Iowa and comply with the remote work program and related policies.

Position Responsibilities:

• Leads audit evaluations according to Revenue Integrity Department processes. Meets with departmental leadership to review findings, documentation standards, and recommendations for improvement.
• Responds to desk audit findings with next-step recommendations and improvements.
• Perform ancillary service quality assurance reviews and departmental audits and meets with department leaders and staff to inform on documentation findings to increase accuracy and improve charge capture.
• Provides feedback to departments regarding missing, incomplete, unspecific, unclear or conflicting documentation.
• Provides coding, documentation, and compliance guidance as requested.
• Assists and directly provides training and orientation in group settings as well as one-on-one.
• Plans and presents to nursing, physician, and staff regarding processes, updates, and reviews relating to audit findings and regulatory compliance.
• Coordinates with Revenue Integrity Analysts to complete various inquiries by departments to ensure accurate and timely responses.
• Maintains current knowledge of the Charge Description Master, clinical charging procedures, and related systems for the production of a bill/claim.
• Works closely with Denials/Appeals and Coding as needed to bridge and drive results through the revenue cycle.
• Regularly reviews information to identify enhancements to the quality assurance methodology and documentation requirements. Maintains in-depth knowledge of Medicare and Medicaid billing practices, guidelines, laws, and regulations to ensure accurate Medicare and Medicaid billing.
• Remains current with regulation changes and related operational processes.
• An integral part in the development of policies and procedures as they relate to improving processes, strengthening controls, enhancing revenue, and improving cash flow.
• Actively participates in team development, achieving dashboards, and in accomplishing department goals and objectives.
• Performs other duties as assigned.