HCA Healthcare · 2 days ago
Revenue Integrity Charge Review Analyst
Richmond, VA
Full-time
Hybrid
Entry Level
1+ years expHCA Healthcare is an organization that invests in its team members and is seeking a Revenue Integrity Charge Review Analyst. This role is responsible for identifying variations in daily total charges across hospital revenue generating departments and ensuring compliance through audits and collaboration with various departments.
BiotechnologyHealth CareHospitalMedicalPrimary and Urgent Care
Responsibilities
Conduct reviews of charging, coding, and clinical documentation, collaborating with Corporate Revenue Integrity Leadership during Meditech Expanse implementation
Maintains constant communication with Facility Departments during Meditech Expanse implementation to address identified charging issues, both prior to and after go-live. This role ensures the Facility CFO is regularly updated on the progress of charging activities
Perform detailed charge audits by verifying billing data against clinical documentation, making necessary corrections in Patient Accounting. Based on audit findings, present recommendations to Corporate and SSC Revenue Integrity Leadership, as well as facility ancillary department directors, to enhance documentation accuracy, charging workflows, and overall compliance
Collaborates with Facility Department Directors in developing chargemaster and charging practices for new service lines or procedures, following approved standardization guidelines. Monitors charging practices post-implementation to offer targeted guidance and support
Consistently monitors charging practices across all facilities through charge reviews, remedial training, and education
Acts as Chargemaster liaison for clinical departments to facilitate education on appropriate charging of CPT codes and Revenue Codes. Collaborates with Ancillary Departments to resolve issues and coordinate necessary updates (activation, deactivation, or modification)
Review HCA regulatory communications, applicable CMS transmittals, and Local Coverage Determinations (LCDs), assess their impact on Revenue Integrity procedures, and implement necessary changes
Maintain up-to-date billing knowledge through webcasts and conference calls, ensuring continuous education
Possess working knowledge of Medicare guidance, inpatient/outpatient status, and observation requirements
Knowledge of Revenue Cycle Pro, 3M Coding systems, and 3M Coding Resources
Participates in charge optimization projects and supports the Corporate Revenue Integrity team on special projects, charge reviews, and patient audits as needed
Qualification
Required
Associate Degree or above; or healthcare license/certification required
Minimum 1 year directly related Healthcare experience or coding experience required
Possess working knowledge of Medicare guidance, inpatient/outpatient status, and observation requirements
Knowledge of Revenue Cycle Pro, 3M Coding systems, and 3M Coding Resources
Preferred
Knowledge of CPT/HCPCS codes or experience in charging or performing charging validation reviews preferred
Healthcare certification/licensure such as RHIT, CCS, CCP, CPC or other recognized AHIMA certified coding credential, LPN, LVN, RT, PT, etc., can be accepted lieu of degree with work experience
Benefits
Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
Free counseling services and resources for emotional, physical and financial wellbeing
401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
Employee Stock Purchase Plan with 10% off HCA Healthcare stock
Family support through fertility and family building benefits with Progyny and adoption assistance.
Referral services for child, elder and pet care, home and auto repair, event planning and more
Consumer discounts through Abenity and Consumer Discounts
Retirement readiness, rollover assistance services and preferred banking partnerships
Education assistance (tuition, student loan, certification support, dependent scholarships)
Colleague recognition program
Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Company
HCA Healthcare
HCA Healthcare provides medical education and healthcare services in locally managed facilities. It is a sub-organization of North Florida Endoscopy Center.
10001+ employees
Funding
Current Stage
Public CompanyTotal Funding
$8.51B2025-10-31Post Ipo Debt· $3.25B
2025-02-24Post Ipo Debt· $5.25B
2014-06-25Post Ipo Debt· $3.2M
Leadership Team
Nicholas Manning
Chief Executive Officer
Nick Lane
Regional Vice President Human Resources
Recent News
Bizjournals.com Feed (2025-11-12 15:43:17)
2026-01-16
2026-01-16
2026-01-15
Company data provided by crunchbase