Charge Integrity Analyst 1

<h4>About Us</h4><p>Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well.</p><p>Our Core Values are:</p><ul><li>We serve faithfully by doing what's right with a joyful heart.</li><li>We never settle by constantly striving for better.</li><li>We are in it together by supporting one another and those we serve.</li><li>We make an impact by taking initiative and delivering exceptional experience.</li></ul><h4> </h4><h4>Benefits</h4><p>Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include:</p><ul><li>Immediate eligibility for health and welfare benefits</li><li>401(k) savings plan with dollar-for-dollar match up to 5%</li><li>Tuition Reimbursement</li><li>PTO accrual beginning Day 1</li></ul><p><i>Note: Benefits may vary based upon position type and/or level.</i></p><div class="block__cell block__field--wide-rich-text" style="-webkit-text-stroke-width:0px;background-color:rgb(255, 255, 255);box-sizing:border-box;color:rgb(0, 0, 0);flex:0 1 100%;font-family:"Open Sans", "Segoe UI", Frutiger, "Frutiger Linotype", "Dejavu Sans", "Helvetica Neue", Arial, sans-serif;font-size:13.02px;font-style:normal;font-variant-caps:normal;font-variant-ligatures:normal;font-weight:400;letter-spacing:normal;margin:10px 0px 0px;orphans:2;padding:0px 25px 0px 0px;text-align:start;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;text-indent:0px;text-transform:none;white-space:normal;widows:2;width:965.762px;word-spacing:0px;" data-bind="css: $component.getBlockCellCss($data, 0)"><div class="block__field--wide-rich-text" style="flex-basis:100%;" data-bind="attr: {id: $data.name + '-container', class:( $data.displayType === 'InputTextArea') ? 'block__field--full-width' : ($data.displayType === 'InputRichText' || $data.name === 'descriptionExt' || $data.name === 'qualificationExt' || $data.name === 'descriptionInt' || $data.name === 'qualificationInt') ? 'block__field--wide-rich-text' : 'block__field--edit'}" id="descriptionExt-container"><div class="oj-form-control block__field-rtfValue " style="margin-bottom:5px;padding-bottom:5px;vertical-align:middle;" data-bind="attr: {id: $data.name + '-value', formFieldId: $data.name}, html: $component.getFieldValue($data)" id="descriptionExt-value" formfieldid="descriptionExt"><h4 style="color:rgb(37, 37, 37);font-family:inherit;font-size:revert;font-style:normal;font-weight:revert;margin:0px 0px 5px;padding:0px;">Job Summary</h4><p style="margin:0px 0px 12px;">The Charge Integrity Analyst I performs duties of moderate complexity, judgment, and scope. The associate must know professional and technical charge editing processes.</p><p style="margin:0px 0px 12px;">Hybrid position: </p><ul><li><p style="margin:0px 0px 12px;">Candidate must live in the Baylor Scott & White service area (DFW, Temple/Waco, Greater Austin Area, and/or College Station).</p></li></ul><h4 style="color:rgb(37, 37, 37);font-family:inherit;font-size:revert;font-style:normal;font-weight:revert;margin:0px 0px 5px;padding:0px;"> </h4><h4 style="color:rgb(37, 37, 37);font-family:inherit;font-size:revert;font-style:normal;font-weight:revert;margin:0px 0px 5px;padding:0px;">Essential Functions of the Role</h4><ul style="margin:12px 0px;padding:revert;"><li style="line-height:1.25;">Serves as an internal resource to clinical departments, revenue cycle operations, and other departments as needed to resolve charge errors.</li><li style="line-height:1.25;">Accountable for claim edit and Discharged Not Billed (DNB) work queues in the patient accounting system.</li><li style="line-height:1.25;">Accountable for professional charge review, claim edits, and follow-up edits in the patient accounting system.</li><li style="line-height:1.25;">Maintains current knowledge of all professional and technical charge entry systems in the clinical and hospital billing systems.</li><li style="line-height:1.25;">Maintains a basic to moderate knowledge of ordering processes, and how various systems flow for generation of charges for billing.</li><li style="line-height:1.25;">Processes compliance audit corrections in the professional and/or technical charge review environment. Will report all potential compliance findings to management.</li><li style="line-height:1.25;">Assists in the resolution of billing edits and denials.</li><li style="line-height:1.25;">Acts as a liaison between management, billing, HIM, and clinical departments. Resolves errors related to professional or technical charge practices.</li><li style="line-height:1.25;">Researches clinical documentation in the medical record to validate that charging activity is appropriate. Completes thorough and accurate documentation.</li></ul><h4 style="color:rgb(37, 37, 37);font-family:inherit;font-size:revert;font-style:normal;font-weight:revert;margin:0px 0px 5px;padding:0px;">Key Success Factors</h4><ul style="margin:12px 0px;padding:revert;"><li style="line-height:1.25;">Working knowledge of hospital systems utilized in revenue cycle functions including registration, charge entry, order entry, and billing.</li><li style="line-height:1.25;">Working knowledge of medical terminology.</li><li style="line-height:1.25;">Ability to establish and maintain working relationships.</li><li style="line-height:1.25;">Ability to communicate effectively and professionally with physicians, both in writing and orally; courtesy; initiative; resourcefulness.</li><li style="line-height:1.25;">Excellent customer service skills.</li><li style="line-height:1.25;">Proficient with MS Office applications.</li><li style="line-height:1.25;">Must be willing to work varying hours according to work requirements, including nights and weekends.</li><li style="line-height:1.25;">Proficient typing (35 wpm minimum)/keyboarding skills.</li><li style="line-height:1.25;">Ability to multi-task.</li><li style="line-height:1.25;">Must have revenue cycle experience in a healthcare setting.</li><li style="line-height:1.25;">Experience with Epic is required.</li><li style="line-height:1.25;">Collections experience</li><li style="line-height:1.25;">Front-end and back end revenue cycle knowledge is essential.</li><li style="line-height:1.25;"><p style="margin:0px 0px 12px;">Access service experience is preferred.</p><p style="margin:0px 0px 12px;"> </p></li></ul><h4 style="color:rgb(37, 37, 37);font-family:inherit;font-size:revert;font-style:normal;font-weight:revert;margin:0px 0px 5px;padding:0px;">Belonging Statement</h4><p style="margin:0px 0px 12px;">We believe that all people should feel welcomed, valued and supported.</p></div></div></div><div class="block__field--line-break" style="-webkit-text-stroke-width:0px;background-color:rgb(255, 255, 255);color:rgb(0, 0, 0);flex-basis:100%;font-family:"Open Sans", "Segoe UI", Frutiger, "Frutiger Linotype", "Dejavu Sans", "Helvetica Neue", Arial, sans-serif;font-size:13.02px;font-style:normal;font-variant-caps:normal;font-variant-ligatures:normal;font-weight:400;height:0px;letter-spacing:normal;orphans:2;text-align:start;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;text-indent:0px;text-transform:none;white-space:normal;widows:2;word-spacing:0px;"> </div><p><b>QUALIFICATIONS</b></p><ul><li>EDUCATION - H.S. Diploma/GED Equivalent</li><li>EXPERIENCE - Less than 1 Year of Experience</li></ul>